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1992063481
NICHOLAS REYNARD HUCKABY
BOSSIER CITY, LA
NPI
1992063481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 06844)
Enumeration Date
2012-05-02
Last Update Date
2012-05-02
Business Address
Mr. NICHOLAS REYNARD HUCKABY DPT
2575 AIRLINE DR
BOSSIER CITY, LA 71111-5812
Phone number: 318-286-5445
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Mailing Address
Mr. NICHOLAS REYNARD HUCKABY DPT
2376 FERNBROOK DR
SHREVEPORT, LA 71118-5215
Phone number: 318-686-0601
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