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1265406953
JEROME DANZELL
SHREVEPORT, LA
NPI
1265406953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: LA 021324)
Enumeration Date
2006-02-17
Last Update Date
2007-07-08
Business Address
-- JEROME DANZELL MD
2727 HEARNE AVE
SHREVEPORT, LA 71103-3931
Phone number: 318-631-6400
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Mailing Address
-- JEROME DANZELL MD
PO BOX 11407
BIRMINGHAM, AL 35246-0100
Phone number: 318-631-6400
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