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Individual

DR. TIMOTHY WRIGHT ANGELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1953 E 70TH ST, SUITE ONE, SHREVEPORT, LA 71105-5300
(318) 797-1505
(318) 797-1502
Mailing address
1953 E 70TH ST, SUITE ONE, SHREVEPORT, LA 71105-5300
(318) 797-1505
(318) 797-1502

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1093
LA

Other

Enumeration date
10/31/2006
Last updated
07/08/2007
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