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1336647304
PATRICK VANCE
BOSSIER CITY, LA
NPI
1336647304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 04103)
Enumeration Date
2018-01-24
Last Update Date
2018-05-18
Business Address
PATRICK VANCE PT
5000 BENTON RD STE 1
BOSSIER CITY, LA 71111
Phone number: 318-218-6652
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Mailing Address
PATRICK VANCE PT
5000 BENTON RD STE 1
BOSSIER CITY, LA 71111-6234
Phone number: 318-584-7025
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