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1356411565
CASEY HARRIS PAYNE
SHREVEPORT, LA
NPI
1356411565
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Former Name
CASEY MICHELLE HARRIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA PA200090)
Enumeration Date
2006-11-08
Last Update Date
2023-06-23
Business Address
Mrs. CASEY HARRIS PAYNE PA
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
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Mailing Address
Mrs. CASEY HARRIS PAYNE PA
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0287
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