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1942509997
BRENNAN ANTHONY BERNARD
SHREVEPORT, LA
NPI
1942509997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 07883)
Enumeration Date
2011-03-16
Last Update Date
2011-03-16
Business Address
-- BRENNAN ANTHONY BERNARD
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103-4204
Phone number: 318-813-2962
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Mailing Address
-- BRENNAN ANTHONY BERNARD
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-7737
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