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1528440864
SHANNON FOSTER
SHREVEPORT, LA
NPI
1528440864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A7050)
Enumeration Date
2015-06-23
Last Update Date
2015-06-23
Business Address
-- SHANNON FOSTER
426 COVENTRY CT
SHREVEPORT, LA 71115-2950
Phone number: 318-453-3417
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Mailing Address
-- SHANNON FOSTER
426 COVENTRY CT
SHREVEPORT, LA 71115-2950
Phone number:
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