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1831532928
JORDAN D QUINN
BOSSIER CITY, LA
NPI
1831532928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA OTT.200431)
Enumeration Date
2013-04-09
Last Update Date
2013-04-09
Business Address
-- JORDAN D QUINN LOTR
502 CARNABY CT
BOSSIER CITY, LA 71111-5572
Phone number: 318-426-0396
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Mailing Address
-- JORDAN D QUINN LOTR
502 CARNABY CT
BOSSIER CITY, LA 71111-5572
Phone number: 318-426-0396
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