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1770053902
ANTONIO RIVERA
LAKE CHARLES, LA
NPI
1770053902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: LA 1836)
Enumeration Date
2018-11-30
Last Update Date
2018-11-30
Business Address
ANTONIO RIVERA DC
2625 DILLARD LOOP, SUITE C
LAKE CHARLES, LA 70607
Phone number: 318-453-2963
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Mailing Address
ANTONIO RIVERA DC
2625 DILLARD LOOP, SUITE C
LAKE CHARLES, LA 70607
Phone number: 318-453-2963
Copy
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