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1427624642
KAROLYNE MADDOX
SHREVEPORT, LA
NPI
1427624642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 330190)
Enumeration Date
2021-05-28
Last Update Date
2023-03-01
Business Address
KAROLYNE MADDOX PA
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
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Mailing Address
KAROLYNE MADDOX PA
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0177
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