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1477680056
CLARENCE B. ERICKSON
SHREVEPORT, LA
NPI
1477680056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 3540)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
Dr. CLARENCE B. ERICKSON D.D.S.
2001 E 70TH ST SUITE 313
SHREVEPORT, LA 71105-5328
Phone number: 318-797-4321
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Mailing Address
Dr. CLARENCE B. ERICKSON D.D.S.
2001 E 70TH ST SUITE 313
SHREVEPORT, LA 71105-5328
Phone number: 318-797-4321
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