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1649627563
AMANDA BERNARD
SHREVEPORT, LA
NPI
1649627563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 07885)
Enumeration Date
2016-05-20
Last Update Date
2016-05-20
Business Address
-- AMANDA BERNARD
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103-4204
Phone number: 318-813-2970
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Mailing Address
-- AMANDA BERNARD
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-813-2970
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