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1114340593
DONALD BERLAN ALLISON
BOSSIER CITY, LA
NPI
1114340593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: LA A7927)
Enumeration Date
2014-01-21
Last Update Date
2014-01-21
Business Address
Mr. DONALD BERLAN ALLISON A.D. PTA
4405 AIRLINE DR
BOSSIER CITY, LA 71111-2058
Phone number: 318-747-5440
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Mailing Address
Mr. DONALD BERLAN ALLISON A.D. PTA
101 E STATE ST
KENNETT SQUARE, PA 19348-3109
Phone number: 610-925-4239
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