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1306041454
JAMESETTA WARD TATE
SHREVEPORT, LA
NPI
1306041454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA MD.015091)
Enumeration Date
2007-06-19
Last Update Date
2010-01-14
Business Address
Mrs. JAMESETTA WARD TATE M.D.
6823 PINES RD A
SHREVEPORT, LA 71129-5205
Phone number: 318-603-0440
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Mailing Address
Mrs. JAMESETTA WARD TATE M.D.
PO BOX 29591
SHREVEPORT, LA 71149-9591
Phone number: 318-603-0440
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