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1154604437
ERICA BUTLER
SHREVEPORT, LA
NPI
1154604437
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Former Name
ERICA B YOUNGBLOD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 200487)
Enumeration Date
2011-09-23
Last Update Date
2023-03-15
Business Address
ERICA BUTLER PA-C
9091 ELLERBE RD STE 200
SHREVEPORT, LA 71106-6737
Phone number: 318-681-1630
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Mailing Address
ERICA BUTLER PA-C
8383 MILLICENT WAY
SHREVEPORT, LA 71115-5207
Phone number: 318-797-6661
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