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1528612850
CARLY PAIGE ROARK
SHREVEPORT, LA
NPI
1528612850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: 10261)
Enumeration Date
2019-07-25
Last Update Date
2022-02-10
Business Address
CARLY PAIGE ROARK DPT
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103-4204
Phone number: 318-813-2970
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Mailing Address
CARLY PAIGE ROARK DPT
29185 HIGHWAY 191
MANY, LA 71449-6313
Phone number: 318-590-9140
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