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1053111054
SLADE ALLEN
PINEVILLE, LA
NPI
1053111054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246RM2200X Technician, Pathology, Medical Laboratory
(Licence: LA 336500)
Enumeration Date
2025-03-18
Last Update Date
2025-03-18
Business Address
SLADE ALLEN
2495 SHREVEPORT HWY
PINEVILLE, LA 71360-4044
Phone number: 800-375-8387
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Mailing Address
SLADE ALLEN
1004 HIDDEN RIDGE DR
WOODWORTH, LA 71485-9529
Phone number: 318-290-0913
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