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1255952578
BRYAN RUSSELL CROWDER
MONROE, LA
NPI
1255952578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 08304)
Enumeration Date
2020-04-27
Last Update Date
2020-04-27
Business Address
BRYAN RUSSELL CROWDER
442 E FRENCHMANS BEND RD
MONROE, LA 71203-8852
Phone number: 318-503-9789
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Mailing Address
BRYAN RUSSELL CROWDER
202 LOST RIVER LNDG
WEST MONROE, LA 71291-2161
Phone number: 318-355-0583
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