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1114515558
PEYTON SPLANE
MANSURA, LA
NPI
1114515558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A6833)
Enumeration Date
2020-12-31
Last Update Date
2020-12-31
Business Address
PEYTON SPLANE PTA
7406 HIGHWAY 1 STE 102
MANSURA, LA 71350-4204
Phone number: 318-240-7680
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Mailing Address
PEYTON SPLANE PTA
PO BOX 849
JENNINGS, LA 70546-0849
Phone number: 337-824-8287
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