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1659671097
NATALIE WOOLEY BOMAR
SHREVEPORT, LA
NPI
1659671097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: LA OTT.200039)
Enumeration Date
2010-11-02
Last Update Date
2010-11-02
Business Address
-- NATALIE WOOLEY BOMAR LOTR
3100 SAMFORD AVE
SHREVEPORT, LA 71103-4239
Phone number: 318-222-5704
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Mailing Address
-- NATALIE WOOLEY BOMAR LOTR
3100 SAMFORD AVE
SHREVEPORT, LA 71103-4239
Phone number: 318-222-5704
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