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1528587441
SHREVEPORT EYE SPECIALISTS, LLC
SHREVEPORT, LA
NPI
1528587441
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Entity Type
Organization
Authorized Contact
RUSSELL H VAN NORMAN
Owner
318-703-5655
Organization Subpart ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: LA MD.024870)
Enumeration Date
2017-09-12
Last Update Date
2018-01-25
Business Address
SHREVEPORT EYE SPECIALISTS, LLC
1801 FAIRFIELD AVE STE 207
SHREVEPORT, LA 71101-4460
Phone number: 318-489-5949
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Mailing Address
SHREVEPORT EYE SPECIALISTS, LLC
1801 FAIRFIELD AVE STE 207
SHREVEPORT, LA 71101-4460
Phone number: 318-703-5655
Copy
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