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1790373975
JENTRY MCCLARD PEARSON
BOSSIER CITY, LA
NPI
1790373975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251S0007X Physical Therapist, Sports
(Licence: LA 10457R)
Enumeration Date
2021-01-04
Last Update Date
2021-01-04
Business Address
JENTRY MCCLARD PEARSON PT, DPT
238 POYDRAS AVE
BOSSIER CITY, LA 71111-2550
Phone number: 318-553-5094
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Mailing Address
JENTRY MCCLARD PEARSON PT, DPT
238 POYDRAS AVE
BOSSIER CITY, LA 71111-2550
Phone number: 318-553-5094
Copy
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