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1568488369
ERNEST LAVON NIX
SHREVEPORT, LA
NPI
1568488369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MS 1697-75)
Enumeration Date
2006-07-14
Last Update Date
2007-07-08
Business Address
Dr. ERNEST LAVON NIX D.D.S.
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
Dr. ERNEST LAVON NIX D.D.S.
216 BRENDA DR
SHREVEPORT, LA 71115-3004
Phone number: 318-797-8869
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