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1053304048
KENNETH BETZING
SHREVEPORT, LA
NPI
1053304048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA PA.A10262.RX)
Enumeration Date
2005-08-25
Last Update Date
2013-05-08
Business Address
-- KENNETH BETZING PA-C
1455 E BERT KOUNS LOOP
SHREVEPORT, LA 71105-5634
Phone number: 318-798-4573
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Mailing Address
-- KENNETH BETZING PA-C
1455 E BERT KOUNS LOOP
SHREVEPORT, LA 71105-5634
Phone number: 318-798-4573
Copy
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