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1295492999
CASTING CARE CLINIC LLC
SHREVEPORT, LA
NPI
1295492999
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Entity Type
Organization
Authorized Contact
LASONYA JONES
Owner
318-401-1432
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2021-11-17
Last Update Date
2021-11-23
Business Address
CASTING CARE CLINIC LLC
7840 JEWELLA AVE
SHREVEPORT, LA 71108-5004
Phone number: 318-401-1432
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Mailing Address
CASTING CARE CLINIC LLC
5412 SUSANNA DR
BOSSIER CITY, LA 71112-4944
Phone number: 318-401-1432
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