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1215567573
ELLIOTT DENTON DOUCET
SHREVEPORT, LA
NPI
1215567573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA 211568)
Enumeration Date
2020-01-24
Last Update Date
2020-01-24
Business Address
ELLIOTT DENTON DOUCET CRNA
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
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Mailing Address
ELLIOTT DENTON DOUCET CRNA
4119 BALTIMORE AVE
SHREVEPORT, LA 71106-1421
Phone number: 318-294-0968
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