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1558443226
JIMMY WAYNE HARRIS
BOSSIER CITY, LA
NPI
1558443226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: LA 03204)
Enumeration Date
2006-10-20
Last Update Date
2012-03-05
Business Address
Mr. JIMMY WAYNE HARRIS P. T.
2204 BENTON RD
BOSSIER CITY, LA 71111-3404
Phone number: 318-747-2200
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Mailing Address
Mr. JIMMY WAYNE HARRIS P. T.
2204 BENTON RD
BOSSIER CITY, LA 71111-3404
Phone number: 318-747-2200
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