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1558989251
JUSTIN ELLIS ALFORD
SHREVEPORT, LA
NPI
1558989251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 09614)
Enumeration Date
2020-07-09
Last Update Date
2020-07-09
Business Address
JUSTIN ELLIS ALFORD PT, DPT
663 JORDAN ST
SHREVEPORT, LA 71101-4748
Phone number: 318-222-8892
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Mailing Address
JUSTIN ELLIS ALFORD PT, DPT
663 JORDAN ST
SHREVEPORT, LA 71101-4748
Phone number: 318-222-8892
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