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1649384983
JAMES FRED SULLIVAN
SHREVEPORT, LA
NPI
1649384983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
226300000X Kinesiotherapist
(Licence: LA 621)
Enumeration Date
2006-08-17
Last Update Date
2007-07-08
Business Address
Mr. JAMES FRED SULLIVAN RKT CEP
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-424-6106
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Mailing Address
Mr. JAMES FRED SULLIVAN RKT CEP
110 HUNTER LEE LN
STONEWALL, LA 71078-4800
Phone number: 318-925-3778
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