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1497923015
RANDALL G. COOPER
SHREVEPORT, LA
NPI
1497923015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 3354)
Enumeration Date
2008-02-16
Last Update Date
2008-02-16
Business Address
Dr. RANDALL G. COOPER D.D.S.
9048 MANSFIELD RD
SHREVEPORT, LA 71118-2608
Phone number: 318-687-9648
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Mailing Address
Dr. RANDALL G. COOPER D.D.S.
9048 MANSFIELD RD
SHREVEPORT, LA 71118-2608
Phone number: 318-687-9648
Copy
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