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1386662765
RUSSELL WAYNE ROBERTS
SHREVEPORT, LA
NPI
1386662765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 014894)
Enumeration Date
2006-07-17
Last Update Date
2009-07-29
Business Address
-- RUSSELL WAYNE ROBERTS M.D.
1501 KINGS HWY DEPARTMENT OF FAMILY MEDICINE
SHREVEPORT, LA 71103-4228
Phone number: 318-675-8032
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Mailing Address
-- RUSSELL WAYNE ROBERTS M.D.
1501 KINGS HWY DEPARTMENT OF FAMILY MEDICINE
SHREVEPORT, LA 71103-4228
Phone number: 318-675-8032
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