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1427458074
LAUREN BROOKE DOYAL BURNHAM
SHREVEPORT, LA
NPI
1427458074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A8416)
Enumeration Date
2014-09-02
Last Update Date
2014-09-02
Business Address
-- LAUREN BROOKE DOYAL BURNHAM
273 SAWGRASS DR
SHREVEPORT, LA 71106-8413
Phone number: 318-347-5016
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Mailing Address
-- LAUREN BROOKE DOYAL BURNHAM
273 SAWGRASS DR
SHREVEPORT, LA 71106-8413
Phone number: 318-347-5016
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