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1023005758
DERMATOLOGY AND SKIN SURGERY APMC
SHREVEPORT, LA
NPI
1023005758
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Entity Type
Organization
Authorized Contact
JACK S RESNECK
President
318-222-3278
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2005-09-27
Last Update Date
2013-10-01
Business Address
DERMATOLOGY AND SKIN SURGERY APMC
9007 ELLERBE RD
SHREVEPORT, LA 71106-6724
Phone number: 318-222-3278
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Mailing Address
DERMATOLOGY AND SKIN SURGERY APMC
9007 ELLERBE RD
SHREVEPORT, LA 71106-6724
Phone number: 318-222-3278
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