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1609856376
JAMES RUSSELL TOLBERT
SHREVEPORT, LA
NPI
1609856376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA AP04404)
Enumeration Date
2006-01-19
Last Update Date
2013-04-12
Business Address
-- JAMES RUSSELL TOLBERT CRNA
3217 MABEL ST
SHREVEPORT, LA 71103-4022
Phone number: 318-631-9121
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Mailing Address
-- JAMES RUSSELL TOLBERT CRNA
3217 MABEL ST
SHREVEPORT, LA 71103-4022
Phone number: 318-631-9121
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