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1235220708
MARIBETH FORREST
SHREVEPORT, LA
NPI
1235220708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: LA 1073752)
Enumeration Date
2006-09-27
Last Update Date
2022-08-09
Business Address
Ms. MARIBETH FORREST P.A.-C
2800 HEARNE AVE
SHREVEPORT, LA 71103-3934
Phone number: 318-663-5208
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Mailing Address
Ms. MARIBETH FORREST P.A.-C
2800 HEARNE AVE
SHREVEPORT, LA 71103-3934
Phone number: 318-212-6086
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