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1013554302
BRIAN HOUSE
SHREVEPORT, LA
NPI
1013554302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA RN142614)
Enumeration Date
2019-12-05
Last Update Date
2019-12-05
Business Address
BRIAN HOUSE
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
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Mailing Address
BRIAN HOUSE
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0284
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