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1801939970
LOIS RAYNER MABERRY
SHREVEPORT, LA
NPI
1801939970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 1103R)
Enumeration Date
2007-02-15
Last Update Date
2011-09-07
Business Address
-- LOIS RAYNER MABERRY PT
1500 LINE AVE
SHREVEPORT, LA 71101-4639
Phone number: 318-213-3800
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Mailing Address
-- LOIS RAYNER MABERRY PT
137 PROMENADE AVE
SHREVEPORT, LA 71115-3241
Phone number: 318-286-5414
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