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1336637479
BRANDI LILES
SHREVEPORT, LA
NPI
1336637479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2044154)
Enumeration Date
2018-04-24
Last Update Date
2018-04-24
Business Address
BRANDI LILES Lpta
10481 KEYSBURG CT
SHREVEPORT, LA 71106-7785
Phone number: 318-518-9696
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Mailing Address
BRANDI LILES Lpta
10481 KEYSBURG CT
SHREVEPORT, LA 71106-7785
Phone number: 318-518-9696
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