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1174013874
PATRIC DARVIE
SHREVEPORT, LA
NPI
1174013874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 333276)
Enumeration Date
2018-05-17
Last Update Date
2022-12-28
Business Address
PATRIC DARVIE
3775 YOUREE DR
SHREVEPORT, LA 71105-2133
Phone number: 318-562-3366
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Mailing Address
PATRIC DARVIE
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-4092
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