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1144584889
AMANDA FAVRET PEARCE
SHREVEPORT, LA
NPI
1144584889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA OTT200557)
Enumeration Date
2012-06-27
Last Update Date
2016-11-27
Business Address
-- AMANDA FAVRET PEARCE
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103-4204
Phone number: 318-813-2962
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Mailing Address
-- AMANDA FAVRET PEARCE
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-7737
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