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1740835644
LETICIA ALVES ANTUNES
SHREVEPORT, LA
NPI
1740835644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 332691)
Enumeration Date
2019-08-07
Last Update Date
2022-09-22
Business Address
LETICIA ALVES ANTUNES
8445 LINE AVE STE 100
SHREVEPORT, LA 71106-5925
Phone number: 318-626-4242
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Mailing Address
LETICIA ALVES ANTUNES
8445 LINE AVE STE 100
SHREVEPORT, LA 71106-5925
Phone number: 318-626-4242
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