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1629068887
DARRELL L FOUTS
SHREVEPORT, LA
NPI
1629068887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA RN057165AP01505)
Enumeration Date
2005-10-27
Last Update Date
2008-09-19
Business Address
-- DARRELL L FOUTS CRNA
8001 YOUREE DR
SHREVEPORT, LA 71115-2302
Phone number: 318-212-3220
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Mailing Address
-- DARRELL L FOUTS CRNA
10014 ROCKY KNOLL CIR
SHREVEPORT, LA 71106-7650
Phone number: 318-797-3135
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