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1669756896
DENNIS RAY RICHARDSON
SHREVEPORT, LA
NPI
1669756896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: LA 105)
Enumeration Date
2011-10-06
Last Update Date
2011-10-06
Business Address
-- DENNIS RAY RICHARDSON
1310 NORTH HEARNE AVE
SHREVEPORT, LA 71107
Phone number: 318-676-5111
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Mailing Address
-- DENNIS RAY RICHARDSON
PO BOX 7904
SHREVEPORT, LA 71137-7904
Phone number: 318-676-5111
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