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1013073246
RICHARD DAVID RICHARDSON
SHREVEPORT, LA
NPI
1013073246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: LA RN078427)
Enumeration Date
2006-12-30
Last Update Date
2007-07-08
Business Address
-- RICHARD DAVID RICHARDSON RN
3020 KNIGHT ST
SHREVEPORT, LA 71105-2554
Phone number: 318-862-9899
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Mailing Address
-- RICHARD DAVID RICHARDSON RN
7660 GRIMM RD
SHREVEPORT, LA 71107-3444
Phone number: 318-309-8833
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