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1609853720
RICHARD LEE SHOMO
NEW ORLEANS, LA
NPI
1609853720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX pa04261)
Enumeration Date
2005-12-29
Last Update Date
2008-06-04
Business Address
-- RICHARD LEE SHOMO PA
2300 GENERAL MEYER AVE BLDG H100
NEW ORLEANS, LA 70142-0001
Phone number: 504-678-8148
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Mailing Address
-- RICHARD LEE SHOMO PA
1009 DEBORAH DR
SLIDELL, LA 70461-5368
Phone number: 504-678-8148
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