JULIE VANDERLICK HARRISON

SHREVEPORT, LA
NPI1144510397
Former NameJULIE MARIE VANDERLICK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: LA  200406)
Enumeration Date2011-04-08
Last Update Date2015-06-16
Business Address
-- JULIE VANDERLICK HARRISON PA
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-6121
Mailing Address
-- JULIE VANDERLICK HARRISON PA
PO BOX 33932
SHREVEPORT, LA 71130-3932
Phone number: 618-675-6121
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