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1235401696
RICHARD NATHAN DISOTELL
SHREVEPORT, LA
NPI
1235401696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA APO6740)
Enumeration Date
2012-02-01
Last Update Date
2012-02-01
Business Address
RICHARD NATHAN DISOTELL CRNA
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-5584
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Mailing Address
RICHARD NATHAN DISOTELL CRNA
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-5584
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