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1326480849
JUSTIN DESHAWN GRIGSBY
SHREVEPORT, LA
NPI
1326480849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 07818)
Enumeration Date
2013-07-25
Last Update Date
2013-07-25
Business Address
Mr. JUSTIN DESHAWN GRIGSBY DPT
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
Mr. JUSTIN DESHAWN GRIGSBY DPT
5754 GOLD CREST DR
BOSSIER CITY, LA 71112-8817
Phone number: 318-221-8411
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