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1609112804
BRANDI GRISWOULD
OAK GROVE, LA
NPI
1609112804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A7427)
Enumeration Date
2012-12-17
Last Update Date
2012-12-17
Business Address
-- BRANDI GRISWOULD
307 N CASTLEMAN ST
OAK GROVE, LA 71263-8894
Phone number: 318-428-3948
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Mailing Address
-- BRANDI GRISWOULD
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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