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1760217145
MADISON FREMEN
SHREVEPORT, LA
NPI
1760217145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A11602)
Enumeration Date
2024-09-04
Last Update Date
2024-09-04
Business Address
MADISON FREMEN PTA
5948 N MARKET ST
SHREVEPORT, LA 71107-2017
Phone number: 318-375-0001
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Mailing Address
MADISON FREMEN PTA
2020 VALLEY VIEW CIR APT 3109
BOSSIER CITY, LA 71111-4086
Phone number: 985-722-8547
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