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1437476553
KATHRYN ELIZABETH BEAUREGARD-SOUTHERLAND
SHREVEPORT, LA
NPI
1437476553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 5168)
Enumeration Date
2010-04-28
Last Update Date
2010-04-28
Business Address
Dr. KATHRYN ELIZABETH BEAUREGARD-SOUTHERLAND D.D.S.
8510 LINE AVE
SHREVEPORT, LA 71106-6119
Phone number: 318-869-3111
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Mailing Address
Dr. KATHRYN ELIZABETH BEAUREGARD-SOUTHERLAND D.D.S.
8510 LINE AVE
SHREVEPORT, LA 71106-6119
Phone number: 318-869-3111
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