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1114022175
MICHAEL DAVID PICKERING
SHREVEPORT, LA
NPI
1114022175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: LA 963-247T)
Enumeration Date
2006-09-14
Last Update Date
2013-12-05
Business Address
Dr. MICHAEL DAVID PICKERING O.D.
5848 LINE AVE
SHREVEPORT, LA 71106-1532
Phone number: 318-865-0017
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Mailing Address
Dr. MICHAEL DAVID PICKERING O.D.
5848 LINE AVE
SHREVEPORT, LA 71106-1532
Phone number: 318-865-0017
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