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1104160381
DIANA MERENDINO
SHREVEPORT, LA
NPI
1104160381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 08378)
Enumeration Date
2012-11-12
Last Update Date
2012-11-12
Business Address
-- DIANA MERENDINO DPT
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103-4204
Phone number: 318-813-2970
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Mailing Address
-- DIANA MERENDINO DPT
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-813-2970
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