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1083927065
AMANDA CALDWELL
SHREVEPORT, LA
NPI
1083927065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 07898)
Enumeration Date
2010-07-20
Last Update Date
2010-07-20
Business Address
AMANDA CALDWELL
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103-4204
Phone number: 318-813-2962
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Mailing Address
AMANDA CALDWELL
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-7737
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