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1255618591
ANDRE' JACOB CARPENTER
SHREVEPORT, LA
NPI
1255618591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA PA200495)
Enumeration Date
2011-11-15
Last Update Date
2021-06-21
Business Address
Mr. ANDRE' JACOB CARPENTER P.A.
2751 ALBERT L BICKNELL DR 4TH FLOOR
SHREVEPORT, LA 71103-3920
Phone number: 318-212-4275
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Mailing Address
Mr. ANDRE' JACOB CARPENTER P.A.
2751 ALBERT L BICKNELL DR 4TH FLOOR
SHREVEPORT, LA 71103-3920
Phone number: 318-212-4275
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