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1033591771
AMANDA BENSON
SHREVEPORT, LA
NPI
1033591771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA OTT.200191)
Enumeration Date
2015-06-18
Last Update Date
2015-06-18
Business Address
-- AMANDA BENSON LOTR
4509 CLINGMAN DR
SHREVEPORT, LA 71105-3211
Phone number: 318-540-8180
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Mailing Address
-- AMANDA BENSON LOTR
4509 CLINGMAN DR
SHREVEPORT, LA 71105
Phone number: 318-540-8180
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