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1295763928
WILLIAM JACKSON DEFEE
PINEVILLE, LA
NPI
1295763928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 011645)
Enumeration Date
2006-06-29
Last Update Date
2007-07-08
Business Address
-- WILLIAM JACKSON DEFEE M.D.
5507 SHREVEPORT HWY
PINEVILLE, LA 71360-3533
Phone number: 318-640-7847
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Mailing Address
-- WILLIAM JACKSON DEFEE M.D.
PO BOX 1390
TIOGA, LA 71477-1390
Phone number: 318-640-7847
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