SUSAN MICHELLE SELF

SHREVEPORT, LA
NPI1023047149
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  023219)
Enumeration Date2006-07-01
Last Update Date2007-12-18
Business Address
-- SUSAN MICHELLE SELF MD
8001 YOUREE DR SUITE 540
SHREVEPORT, LA 71115-2302
Phone number: 318-212-3810
Mailing Address
-- SUSAN MICHELLE SELF MD
8001 YOUREE DR SUITE 540
SHREVEPORT, LA 71115-2302
Phone number: 318-212-3810
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