JOHN JAMES BLACK

SHREVEPORT, LA
NPI1326417932
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  02792F)
Enumeration Date2015-09-24
Last Update Date2015-09-24
Business Address
JOHN JAMES BLACK
403 E FLOURNOY LUCAS RD
SHREVEPORT, LA 71115-3906
Phone number: 318-213-3500
Mailing Address
JOHN JAMES BLACK
PO BOX 579
SUMMIT, MS 39666-0579
Phone number: 601-276-3900
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