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1861475691
JACK S RESNECK
SHREVEPORT, LA
NPI
1861475691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: LA 01957)
Enumeration Date
2005-11-25
Last Update Date
2007-07-08
Business Address
Mr. JACK S RESNECK MD
845 OLIVE ST
SHREVEPORT, LA 71104
Phone number: 318-222-3278
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Mailing Address
Mr. JACK S RESNECK MD
845 OLIVE ST
SHREVEPORT, LA 71104
Phone number: 318-222-3278
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