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1225148885
RICHARD W. ROSS
SHREVEPORT, LA
NPI
1225148885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Mr. RICHARD W. ROSS PA
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
Mr. RICHARD W. ROSS PA
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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