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1750485900
JEAN WEDNER ROUSSEAU
SHREVEPORT, LA
NPI
1750485900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: LA 06203R)
Enumeration Date
2006-09-09
Last Update Date
2007-07-08
Business Address
-- JEAN WEDNER ROUSSEAU MD
4140 HOLLYWOOD AVENUE
SHREVEPORT, LA 71109-7818
Phone number: 318-621-9600
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Mailing Address
-- JEAN WEDNER ROUSSEAU MD
4140 HOLLYWOOD AVENUE
SHREVEPORT, LA 71109-7818
Phone number: 318-621-9600
Copy
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