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1801999057
SPINE & SPORTS SPECIALTIES
GONZALES, LA
NPI
1801999057
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Entity Type
Organization
Authorized Contact
JAMIE GEORGE SMITH
Owner
225-647-1515
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 02870)
Enumeration Date
2006-09-06
Last Update Date
2007-09-11
Business Address
SPINE & SPORTS SPECIALTIES
2012 S. BURNSIDE AVE. SUITE B
GONZALES, LA 70737-4637
Phone number: 225-647-1515
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Mailing Address
SPINE & SPORTS SPECIALTIES
PO BOX 1991
GONZALES, LA 70707-1991
Phone number: 225-647-1515
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