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1245678432
LAURA ELISE BARES
SHREVEPORT, LA
NPI
1245678432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA PT04527R)
Enumeration Date
2013-06-10
Last Update Date
2013-06-10
Business Address
-- LAURA ELISE BARES MPT, CLT
1500 LINE AVE SUITE 104
SHREVEPORT, LA 71101-4639
Phone number: 318-213-3810
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Mailing Address
-- LAURA ELISE BARES MPT, CLT
202 CHENNAULT AVE
BARKSDALE AFB, LA 71110-2038
Phone number: 703-973-7725
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