BRANDON R GIPSON

SHREVEPORT, LA
NPI1588858575
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  OTT.200161)
Enumeration Date2007-09-01
Last Update Date2007-09-01
Business Address
BRANDON R GIPSON LOTR
725 MITCHELL LN
SHREVEPORT, LA 71106-2149
Phone number: 318-675-0707
Mailing Address
BRANDON R GIPSON LOTR
5621 GINNY RD
KEITHVILLE, LA 71047-8637
Phone number: 318-925-9032
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