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1649382201
CHARLES DAVID O'CON
SHREVEPORT, LA
NPI
1649382201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA RN094033)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- CHARLES DAVID O'CON CRNA
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-841-4767
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Mailing Address
-- CHARLES DAVID O'CON CRNA
9670 CALLIOPE LN
SHREVEPORT, LA 71115-4600
Phone number: 318-798-6677
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