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1013927193
SUSAN ING
SHREVEPORT, LA
NPI
1013927193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: HI 11343)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
-- SUSAN ING
501 E STONER AVENUE
SHREVEPORT, LA 71101
Phone number: 318-221-8411
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Mailing Address
-- SUSAN ING
6012 PEPPERWOOD CIRCLE
BOSSIER CITY, LA 71111-5678
Phone number: 318-741-2431
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