ABDUL DAMRA

SHREVEPORT, LA
NPI1457039810
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: LA  S-1158)
Enumeration Date2023-07-06
Last Update Date2023-07-06
Business Address
ABDUL DAMRA
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0547
Mailing Address
ABDUL DAMRA
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0547
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