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1477500288
RICHARD WESLEY JACOBSON
SHREVEPORT, LA
NPI
1477500288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: LA MD.15048R)
Enumeration Date
2006-05-27
Last Update Date
2019-12-09
Business Address
RICHARD WESLEY JACOBSON MD
1 SAINT MARY PL
SHREVEPORT, LA 71101-4343
Phone number: 318-681-4222
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Mailing Address
RICHARD WESLEY JACOBSON MD
ONE ST. MARY PLACE
SHREVEPORT, LA 71101
Phone number: 318-681-4222
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