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1720244213
AMANDA BOLANOS
SHREVEPORT, LA
NPI
1720244213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
227800000X Respiratory Therapist, Certified
(Licence: LA CRTLT3386)
Enumeration Date
2008-08-04
Last Update Date
2008-08-04
Business Address
Mrs. AMANDA BOLANOS CRT
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
Mrs. AMANDA BOLANOS CRT
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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