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1972741197
BRITTANY M JELLUM
SHREVEPORT, LA
NPI
1972741197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A7232)
Enumeration Date
2009-01-26
Last Update Date
2009-01-26
Business Address
Ms. BRITTANY M JELLUM PTA
1800 BUCKNER ST SUITE C 200
SHREVEPORT, LA 71101-4440
Phone number: 318-227-9002
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Mailing Address
Ms. BRITTANY M JELLUM PTA
1800 BUCKNER ST SUITE C 200
SHREVEPORT, LA 71101-4440
Phone number: 318-227-9002
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