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1326742263
KARL WAYNE HIGGINBOTHAM
BOSSIER CITY, LA
NPI
1326742263
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 1784)
Enumeration Date
2023-03-27
Last Update Date
2023-03-27
Business Address
KARL WAYNE HIGGINBOTHAM PT
5312 BARBERRY LN
BOSSIER CITY, LA 71112-5010
Phone number: 318-470-3587
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Mailing Address
KARL WAYNE HIGGINBOTHAM PT
5312 BARBERRY LN
BOSSIER CITY, LA 71112-5010
Phone number: 318-470-3587
Copy
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