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1255772018
RUSSELL SCHAFER
GRETNA, LA
NPI
1255772018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 6404)
Enumeration Date
2013-07-09
Last Update Date
2016-04-20
Business Address
Dr. RUSSELL SCHAFER DDS
816 BEHRMAN HWY
GRETNA, LA 70056-4546
Phone number: 504-392-5104
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Mailing Address
Dr. RUSSELL SCHAFER DDS
816 BEHRMAN HWY
GRETNA, LA 70056-4546
Phone number: 504-392-5104
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