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1023461977
MICHAEL LILES
SHREVEPORT, LA
NPI
1023461977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA AP08949)
Enumeration Date
2016-07-15
Last Update Date
2016-07-20
Business Address
-- MICHAEL LILES
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-5000
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Mailing Address
-- MICHAEL LILES
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-5000
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