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1316286214
ALYSE WELLS HOGAN
SHREVEPORT, LA
NPI
1316286214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2013-02-12
Last Update Date
2022-02-11
Business Address
ALYSE WELLS HOGAN OTR
3100 SAMFORD AVE
SHREVEPORT, LA 71103-4239
Phone number: 318-222-5704
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Mailing Address
ALYSE WELLS HOGAN OTR
362 LEO AVE
SHREVEPORT, LA 71105-2916
Phone number: 318-229-2681
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