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1780907360
TREVOR RICHARD MD APMC
BOSSIER CITY, LA
NPI
1780907360
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Entity Type
Organization
Authorized Contact
TREVOR C RICHARD
Provider
318-518-6091
Organization Subpart ?
No
Primary Taxonomy
282E00000X
(Licence: LA 202291)
Enumeration Date
2010-03-10
Last Update Date
2010-04-28
Business Address
TREVOR RICHARD MD APMC
2525 VIKING DR
BOSSIER CITY, LA 71111-2103
Phone number: 318-747-5377
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Mailing Address
TREVOR RICHARD MD APMC
4855 AIRLINE DR
BOSSIER CITY, LA 71111-6600
Phone number: 318-747-5377
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