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1104410877
ROGER CRAIG
SHREVEPORT, LA
NPI
1104410877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 325737)
Enumeration Date
2021-02-23
Last Update Date
2021-02-23
Business Address
ROGER CRAIG
7925 YOUREE DR STE 200
SHREVEPORT, LA 71105-5134
Phone number: 318-212-3610
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Mailing Address
ROGER CRAIG
7925 YOUREE DR STE 200
SHREVEPORT, LA 71105-5134
Phone number: 318-212-3610
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