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1407127541
NELSON TIAMZON CUNANAN
BOSSIER CITY, LA
NPI
1407127541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A8181)
Enumeration Date
2012-01-20
Last Update Date
2012-01-20
Business Address
Mr. NELSON TIAMZON CUNANAN
5903 PAMPUS LN
BOSSIER CITY, LA 71112-4985
Phone number: 318-965-6497
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Mailing Address
Mr. NELSON TIAMZON CUNANAN
5903 PAMPUS LN
BOSSIER CITY, LA 71112-4985
Phone number: 318-965-6497
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