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1649655101
PHILLIP THOMAS
BOSSIER CITY, LA
NPI
1649655101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1234351)
Enumeration Date
2015-07-27
Last Update Date
2015-07-27
Business Address
-- PHILLIP THOMAS
6020 COY RD
BOSSIER CITY, LA 71111-5702
Phone number: 318-617-2699
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Mailing Address
-- PHILLIP THOMAS
6020 COY RD
BOSSIER CITY, LA 71111-5702
Phone number: 318-617-2699
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