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1124069927
TONYA L MCCULLOCH
SHREVEPORT, LA
NPI
1124069927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 04704)
Enumeration Date
2006-06-10
Last Update Date
2011-06-07
Business Address
-- TONYA L MCCULLOCH MPT, CWS
1500 LINE AVE
SHREVEPORT, LA 71101-4639
Phone number: 318-213-3800
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Mailing Address
-- TONYA L MCCULLOCH MPT, CWS
1500 LINE AVE
SHREVEPORT, LA 71101-4639
Phone number: 318-213-3800
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