GERRY G PROVANCE

METAIRIE, LA
NPI1063555662
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111NS0005X Chiropractor, Sports Physician
(Licence: LA  414)
Enumeration Date2007-02-14
Last Update Date2007-07-08
Business Address
-- GERRY G PROVANCE D.C.
2007 CLEARVIEW PKWY
METAIRIE, LA 70001-2404
Phone number: 504-456-9296
Mailing Address
-- GERRY G PROVANCE D.C.
2007 CLEARVIEW PKWY
METAIRIE, LA 70001-2404
Phone number: 504-456-9296
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