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1922513027
JASON RANDALL SPOONER
LAKE CHARLES, LA
NPI
1922513027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 09016R)
Enumeration Date
2017-12-11
Last Update Date
2017-12-11
Business Address
Dr. JASON RANDALL SPOONER PT, DPT, RN
4112 LAKE ST STE 600
LAKE CHARLES, LA 70605-4306
Phone number: 337-304-8034
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Mailing Address
Dr. JASON RANDALL SPOONER PT, DPT, RN
2665 NEWBERRY STATION DR
LAKE CHARLES, LA 70611-3984
Phone number: 337-302-9034
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