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1154772051
SUSANN MCMAHEN
RUSTON, LA
NPI
1154772051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: LA 6686)
Enumeration Date
2016-06-22
Last Update Date
2016-06-22
Business Address
-- SUSANN MCMAHEN DDS
306 E REYNOLDS DR SUITE 1
RUSTON, LA 71270-2846
Phone number: 318-255-6780
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Mailing Address
-- SUSANN MCMAHEN DDS
2564 MELODY LN
RUSTON, LA 71270-2551
Phone number: 318-423-1603
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