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1720454325
FAUTINA TRAN
SHREVEPORT, LA
NPI
1720454325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 09092R)
Enumeration Date
2015-08-18
Last Update Date
2015-08-18
Business Address
-- FAUTINA TRAN
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103-4204
Phone number: 318-813-2970
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Mailing Address
-- FAUTINA TRAN
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-813-2970
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