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1689057770
JASON STEWART
PINEVILLE, LA
NPI
1689057770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A8235)
Enumeration Date
2015-07-07
Last Update Date
2015-07-07
Business Address
-- JASON STEWART
2495 SHREVEPORT HWY # 71
PINEVILLE, LA 71360-4044
Phone number: 318-473-0010
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Mailing Address
-- JASON STEWART
PO BOX 69004
ALEXANDRIA, LA 71306-9004
Phone number: 318-473-0010
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