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1821485285
LLOYD VALE
SHREVEPORT, LA
NPI
1821485285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 07484F)
Enumeration Date
2015-04-22
Last Update Date
2015-04-22
Business Address
-- LLOYD VALE
111 PANTHEON LN
SHREVEPORT, LA 71115-4506
Phone number: 318-789-0596
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Mailing Address
-- LLOYD VALE
111 PANTHEON LN
SHREVEPORT, LA 71115-4506
Phone number: 318-789-0596
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