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1316293798
MARTIN JAMES DYKES
SHREVEPORT, LA
NPI
1316293798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 736)
Enumeration Date
2012-08-03
Last Update Date
2013-03-28
Business Address
-- MARTIN JAMES DYKES L.A.C.
1513 LINE AVE
SHREVEPORT, LA 71101-4621
Phone number: 318-742-5146
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Mailing Address
-- MARTIN JAMES DYKES L.A.C.
1513 LINE AVE
SHREVEPORT, LA 71101-4621
Phone number: 318-742-5146
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