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1760006803
NICHOLAS R FULCO
BOSSIER CITY, LA
NPI
1760006803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 10556)
Enumeration Date
2020-06-04
Last Update Date
2023-11-01
Business Address
Dr. NICHOLAS R FULCO DPT
1156 AIRLINE DR
BOSSIER CITY, LA 71112-3026
Phone number: 318-200-0386
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Mailing Address
Dr. NICHOLAS R FULCO DPT
6123 KATELAND CIR
BOSSIER CITY, LA 71111-6988
Phone number: 318-754-7367
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