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1164834206
JORDAN AUSTIN BRICE
SHREVEPORT, LA
NPI
1164834206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: LA 308352)
Enumeration Date
2014-05-23
Last Update Date
2019-02-11
Business Address
Dr. JORDAN AUSTIN BRICE M.D.
8001 YOUREE DR
SHREVEPORT, LA 71115-2302
Phone number: 318-797-1743
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Mailing Address
Dr. JORDAN AUSTIN BRICE M.D.
PO BOX 52448
SHREVEPORT, LA 71135-2448
Phone number: 318-797-1743
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