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1134469463
HOLLY GAINES SCURLOCK
SHREVEPORT, LA
NPI
1134469463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: LA PA.200600)
Enumeration Date
2013-02-23
Last Update Date
2013-02-23
Business Address
-- HOLLY GAINES SCURLOCK PA-C
9300 MANSFIELD RD
SHREVEPORT, LA 71118-3155
Phone number: 318-629-3763
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Mailing Address
-- HOLLY GAINES SCURLOCK PA-C
9300 MANSFIELD RD
SHREVEPORT, LA 71118-3155
Phone number: 318-629-3763
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