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1295150977
ELIZABETH HANSEN WAGNER
SHREVEPORT, LA
NPI
1295150977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 08371)
Enumeration Date
2014-03-04
Last Update Date
2018-03-17
Business Address
ELIZABETH HANSEN WAGNER PT, DPT
266 OCKLEY DR
SHREVEPORT, LA 71105-3025
Phone number: 318-868-3268
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Mailing Address
ELIZABETH HANSEN WAGNER PT, DPT
266 OCKLEY DR
SHREVEPORT, LA 71105-3025
Phone number:
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