MYSTIE ANN HARMON

SHREVEPORT, LA
NPI1750655775
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: LA  Z20632)
Enumeration Date2012-03-08
Last Update Date2012-03-08
Business Address
-- MYSTIE ANN HARMON OTA
1536 CLAIBORNE AVE
SHREVEPORT, LA 71103-4206
Phone number: 903-407-9114
Mailing Address
-- MYSTIE ANN HARMON OTA
1536 CLAIBORNE AVE
SHREVEPORT, LA 71103-4206
Phone number: 903-407-9114
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