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1871783886
RICHARD T NELSON
SHREVEPORT, LA
NPI
1871783886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: GA DN013278)
Enumeration Date
2007-07-26
Last Update Date
2007-07-26
Business Address
-- RICHARD T NELSON DDS
7878 JEFFERSON PAIGE RD
SHREVEPORT, LA 71119-8865
Phone number: 504-460-9397
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Mailing Address
-- RICHARD T NELSON DDS
7878 JEFFERSON PAIGE RD
SHREVEPORT, LA 71119-8865
Phone number: 504-460-9397
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