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1104823947
DONNA TERRY
SHREVEPORT, LA
NPI
1104823947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA A10282)
Enumeration Date
2005-07-07
Last Update Date
2007-07-08
Business Address
-- DONNA TERRY PA-C
8383 MILLICENT WAY
SHREVEPORT, LA 71115-5207
Phone number: 318-797-6661
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Mailing Address
-- DONNA TERRY PA-C
PO BOX 5687
SHREVEPORT, LA 71135-5687
Phone number: 318-797-6661
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