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1699827113
DERMATOLOGY & SKIN CANCER SPECIALISTS, LLC
SHREVEPORT, LA
NPI
1699827113
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Entity Type
Organization
Authorized Contact
CAROL R WADSWORTH
Office Manager
318-686-2021
Organization Subpart ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: LA MD02411R)
Enumeration Date
2007-01-17
Last Update Date
2013-06-05
Business Address
DERMATOLOGY & SKIN CANCER SPECIALISTS, LLC
9314 NORMANDIE DR
SHREVEPORT, LA 71118-3866
Phone number: 318-686-2021
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Mailing Address
DERMATOLOGY & SKIN CANCER SPECIALISTS, LLC
PO BOX 17607
SHREVEPORT, LA 71138-0607
Phone number: 318-686-2021
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