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1285643908
RICHARD TAYLOR HAVENS
SHREVEPORT, LA
NPI
1285643908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: LA PDR073R)
Enumeration Date
2006-08-05
Last Update Date
2010-08-04
Business Address
Dr. RICHARD TAYLOR HAVENS DPM
9308 MANSFIELD RD STE 100
SHREVEPORT, LA 71118-3134
Phone number: 318-687-6266
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Mailing Address
Dr. RICHARD TAYLOR HAVENS DPM
9308 MANSFIELD RD STE 100
SHREVEPORT, LA 71118-3160
Phone number: 318-687-6266
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