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1821228909
PRATIBHA ANNE
SHREVEPORT, LA
NPI
1821228909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 203834)
Enumeration Date
2009-07-22
Last Update Date
2010-10-14
Business Address
-- PRATIBHA ANNE MD
1625 DAVID RAINES RD
SHREVEPORT, LA 71107-5899
Phone number: 318-425-2252
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Mailing Address
-- PRATIBHA ANNE MD
1625 DAVID RAINES RD
SHREVEPORT, LA 71107-5899
Phone number: 318-425-2252
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