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1497950851
BLAIR MICHELLE BRYSON
SHREVEPORT, LA
NPI
1497950851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 5709)
Enumeration Date
2007-06-17
Last Update Date
2007-07-08
Business Address
Dr. BLAIR MICHELLE BRYSON D.D.S.
510 E STONER AVE OVERTON BROOKS VAMC- DENTAL CLINIC
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
Dr. BLAIR MICHELLE BRYSON D.D.S.
118 NAPOLEON DR
SHREVEPORT, LA 71115-2730
Phone number: 318-795-8029
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