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1730372590
CAROLE SUZANNE WINDHAM
SHREVEPORT, LA
NPI
1730372590
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Other Name
CAROLE SUZANNE EVANS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: LA 4522)
Enumeration Date
2007-08-23
Last Update Date
2007-08-23
Business Address
DR. CAROLE SUZANNE WINDHAM DDS
6140 LINE AVE
SHREVEPORT, LA 71106-2051
Phone number: 318-865-4620
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Mailing Address
DR. CAROLE SUZANNE WINDHAM DDS
6140 LINE AVE
SHREVEPORT, LA 71106-2051
Phone number: 318-865-4620
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