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1225084536
JOHN KEVIN NETTERVILLE
SHREVEPORT, LA
NPI
1225084536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: LA 12640R)
Enumeration Date
2006-05-26
Last Update Date
2007-07-08
Business Address
JOHN KEVIN NETTERVILLE MD
ONE ST MARY PLACE
SHREVEPORT, LA 71101
Phone number: 318-681-4500
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Mailing Address
JOHN KEVIN NETTERVILLE MD
10326 GOLDSBERRY
SHREVEPORT, LA 71106
Phone number: 318-798-0998
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