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1467874081
CARLA BUNTYN
SHREVEPORT, LA
NPI
1467874081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2014-01-16
Last Update Date
2014-01-16
Business Address
-- CARLA BUNTYN
2524 LAKEWAY DR
SHREVEPORT, LA 71109-3007
Phone number: 318-220-6289
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Mailing Address
-- CARLA BUNTYN
2524 LAKEWAY DR
SHREVEPORT, LA 71109-3007
Phone number:
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