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1245205335
RUSSELL SHANE CARR
SHREVEPORT, LA
NPI
1245205335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 12951R)
Enumeration Date
2006-02-22
Last Update Date
2021-06-21
Business Address
RUSSELL SHANE CARR M.D.
1811 E BERT KOUNS INDUSTRIAL LOOP SUITE 400
SHREVEPORT, LA 71105-5740
Phone number: 318-212-3810
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Mailing Address
RUSSELL SHANE CARR M.D.
1811 E BERT KOUNS INDUSTRIAL LOOP SUITE 400
SHREVEPORT, LA 71105-5740
Phone number: 318-212-3810
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