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1720258296
CANDACE CHANEY
SHREVEPORT, LA
NPI
1720258296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 06968R)
Enumeration Date
2008-03-11
Last Update Date
2008-03-11
Business Address
-- CANDACE CHANEY
702 STEPHENSON ST
SHREVEPORT, LA 71104-4324
Phone number: 318-402-9455
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Mailing Address
-- CANDACE CHANEY
702 STEPHENSON ST
SHREVEPORT, LA 71104-4324
Phone number: 318-402-9455
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