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1659302339
CLARENCE RAPHIEL TEAGLE
SHREVEPORT, LA
NPI
1659302339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: LA 009465)
Enumeration Date
2006-07-05
Last Update Date
2007-12-05
Business Address
-- CLARENCE RAPHIEL TEAGLE MD
8001 YOUREE DR SUITE 450
SHREVEPORT, LA 71115-2302
Phone number: 318-212-3952
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Mailing Address
-- CLARENCE RAPHIEL TEAGLE MD
8001 YOUREE DR SUITE 450
SHREVEPORT, LA 71115-2302
Phone number: 318-212-3952
Copy
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