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1215566104
MARK LANDRY
SHREVEPORT, LA
NPI
1215566104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-03
Last Update Date
2020-04-03
Business Address
MARK LANDRY MD
1501 KINGS HIGHWAY OTOLARYNGOLOGY
SHREVEPORT, LA 71130-3932
Phone number: 318-626-0564
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Mailing Address
MARK LANDRY MD
1501 KINGS HIGHWAY OTOLARYNGOLOGY
SHREVEPORT, LA 71130-3932
Phone number: 318-626-0564
Copy
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