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1922598853
ANNA PUCKETT
SHREVEPORT, LA
NPI
1922598853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: LA 304725)
Enumeration Date
2018-05-16
Last Update Date
2018-05-16
Business Address
Mrs. ANNA PUCKETT COTA
8730 YOUREE DR STE B
SHREVEPORT, LA 71115-2518
Phone number: 318-227-9002
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Mailing Address
Mrs. ANNA PUCKETT COTA
8730 YOUREE DR STE B
SHREVEPORT, LA 71115-2518
Phone number: 318-227-9002
Copy
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