WARREN DAVID. LONG

SHREVEPORT, LA
NPI1689834400
Entity TypeOrganization
Authorized ContactWARREN DAVID LONG
Md/Owner
318-424-8436
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: LA  02812R)
Enumeration Date2008-06-16
Last Update Date2008-06-16
Business Address
WARREN DAVID. LONG
2625 LINE AVE 155
SHREVEPORT, LA 71104-3047
Phone number: 318-424-8436
Mailing Address
WARREN DAVID. LONG
2625 LINE AVE 155
SHREVEPORT, LA 71104-3047
Phone number: 318-424-8436
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