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1518085372
JENNIFER RIDDELL COOPER
SHREVEPORT, LA
NPI
1518085372
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 5424)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
Dr. JENNIFER RIDDELL COOPER DDS
230 CARROLL ST SUITE 4
SHREVEPORT, LA 71105-4248
Phone number: 318-865-3311
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Mailing Address
Dr. JENNIFER RIDDELL COOPER DDS
230 CARROLL ST SUITE 4
SHREVEPORT, LA 71105-4248
Phone number: 318-865-3311
Copy
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