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1508207705
CHAD SUMMERS
WEST MONROE, LA
NPI
1508207705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A8536R)
Enumeration Date
2013-07-16
Last Update Date
2013-07-16
Business Address
-- CHAD SUMMERS
109 MCCLENDON CHURCH RD
WEST MONROE, LA 71292-8052
Phone number: 318-410-8376
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Mailing Address
-- CHAD SUMMERS
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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