JOHN NIKKO GABUYA MANGAOANG

SHREVEPORT, LA
NPI1366163214
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  11349)
Enumeration Date2022-09-08
Last Update Date2022-09-08
Business Address
JOHN NIKKO GABUYA MANGAOANG DPT
670 ALBEMARLE DR STE 1100
SHREVEPORT, LA 71106-5945
Phone number: 318-828-1450
Mailing Address
JOHN NIKKO GABUYA MANGAOANG DPT
670 ALBEMARLE DR STE 1100
SHREVEPORT, LA 71106-5945
Phone number: 318-828-1450
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