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1760444368
RONALD TEDDIE ALSUP
SHREVEPORT, LA
NPI
1760444368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: LA 011629)
Enumeration Date
2006-04-06
Last Update Date
2007-11-15
Business Address
-- RONALD TEDDIE ALSUP MD
2551 GREENWOOD RD SUITE 410
SHREVEPORT, LA 71103-3981
Phone number: 318-925-2929
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Mailing Address
-- RONALD TEDDIE ALSUP MD
2551 GREENWOOD RD SUITE 410
SHREVEPORT, LA 71103-3981
Phone number: 318-925-2929
Copy
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