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1629619671
DORAN MACDONALD EVERED JOSEPH
SHREVEPORT, LA
NPI
1629619671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: LA 333433)
Enumeration Date
2019-10-01
Last Update Date
2022-12-16
Business Address
DORAN MACDONALD EVERED JOSEPH
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
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Mailing Address
DORAN MACDONALD EVERED JOSEPH
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0287
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