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1013386507
KURVIS ANTIONE DAVIS
SHREVEPORT, LA
NPI
1013386507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA AP08517)
Enumeration Date
2015-09-15
Last Update Date
2016-12-30
Business Address
-- KURVIS ANTIONE DAVIS
367 CARROLLTON AVE
SHREVEPORT, LA 71105-3205
Phone number: 318-573-0604
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Mailing Address
-- KURVIS ANTIONE DAVIS
367 CARROLLTON AVE
SHREVEPORT, LA 71105-3205
Phone number: 318-573-0604
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