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1528580552
ANDREA LEA BURLISON
SHREVEPORT, LA
NPI
1528580552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: LA Z11235)
Enumeration Date
2017-07-12
Last Update Date
2017-07-12
Business Address
Mrs. ANDREA LEA BURLISON LOTR
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number: 318-795-3388
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Mailing Address
Mrs. ANDREA LEA BURLISON LOTR
17 CHAPEL CREEK LN
SHREVEPORT, LA 71106-8553
Phone number:
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