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1730200866
JAY PHILIP FAKIER
SHREVEPORT, LA
NPI
1730200866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: LA 201278)
Enumeration Date
2007-04-03
Last Update Date
2024-03-01
Business Address
JAY PHILIP FAKIER M.D.
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 985-859-9669
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Mailing Address
JAY PHILIP FAKIER M.D.
436 RAILSBACK ST
SHREVEPORT, LA 71106-7726
Phone number: 985-859-9669
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