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1104654250
BRIAN K THOMAS
SHREVEPORT, LA
NPI
1104654250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WC0200X Registered Nurse, Critical Care Medicine
(Licence: LA 201131)
Enumeration Date
2024-07-22
Last Update Date
2024-07-22
Business Address
Mr. BRIAN K THOMAS
542 MOCKINGBIRD LN
SHREVEPORT, LA 71105-4322
Phone number: 318-840-2209
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Mailing Address
Mr. BRIAN K THOMAS
542 MOCKINGBIRD LN
SHREVEPORT, LA 71105-4322
Phone number: 318-840-2209
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