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1720843972
BRITTANY L JACKSON
BOSSIER CITY, LA
NPI
1720843972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A10143R)
Enumeration Date
2024-02-16
Last Update Date
2024-02-16
Business Address
BRITTANY L JACKSON
4405 AIRLINE DR
BOSSIER CITY, LA 71111-2058
Phone number: 318-676-9167
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Mailing Address
BRITTANY L JACKSON
4405 AIRLINE DR
BOSSIER CITY, LA 71111-2058
Phone number:
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