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1629692074
NATHAN JAMES AULTMAN
SHREVEPORT, LA
NPI
1629692074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 10588)
Enumeration Date
2020-06-02
Last Update Date
2020-06-02
Business Address
NATHAN JAMES AULTMAN PT
1800 BUCKNER ST STE C249
SHREVEPORT, LA 71101-4447
Phone number: 318-934-1969
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Mailing Address
NATHAN JAMES AULTMAN PT
PO BOX 1377
WEST MONROE, LA 71294-1377
Phone number: 318-396-1969
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