BRADLY KENDALL LARSON

SHREVEPORT, LA
NPI1053729152
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: LA  1775-709T)
Enumeration Date2014-08-01
Last Update Date2014-08-01
Business Address
Dr. BRADLY KENDALL LARSON O.D.
8889 JEWELLA AVE STE C
SHREVEPORT, LA 71118-2138
Phone number: 318-686-5227
Mailing Address
Dr. BRADLY KENDALL LARSON O.D.
8889 JEWELLA AVE STE C
SHREVEPORT, LA 71118-2138
Phone number: 318-686-5227
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