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1083214837
ANGELA IMPSON
SHREVEPORT, LA
NPI
1083214837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA 303345)
Enumeration Date
2020-10-30
Last Update Date
2020-10-30
Business Address
ANGELA IMPSON LOTR
8039 LINE AVE STE 1B
SHREVEPORT, LA 71106-5145
Phone number: 318-861-1965
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Mailing Address
ANGELA IMPSON LOTR
3468 BEVERLY PL
SHREVEPORT, LA 71105-2022
Phone number: 318-517-4948
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