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1376034884
KISHAN SHAH
PRAIRIEVILLE, LA
NPI
1376034884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 09938)
Enumeration Date
2018-05-21
Last Update Date
2018-05-21
Business Address
KISHAN SHAH PT
17135 RONALD RD
PRAIRIEVILLE, LA 70769-4168
Phone number: 225-744-4878
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Mailing Address
KISHAN SHAH PT
17135 RONALD RD
PRAIRIEVILLE, LA 70769-4168
Phone number: 225-744-4878
Copy
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