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1407480197
CODY STUTSON LASITER
SHREVEPORT, LA
NPI
1407480197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 10384)
Enumeration Date
2020-03-03
Last Update Date
2023-03-17
Business Address
Dr. CODY STUTSON LASITER PT, DPT
663 JORDAN ST
SHREVEPORT, LA 71101-4748
Phone number: 318-222-8892
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Mailing Address
Dr. CODY STUTSON LASITER PT, DPT
663 JORDAN ST
SHREVEPORT, LA 71101-4748
Phone number: 318-222-8892
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