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1902250715
ANDREW JAY CLELAND
SHREVEPORT, LA
NPI
1902250715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-04-18
Last Update Date
2016-04-18
Business Address
ANDREW JAY CLELAND MD
1501 KINGS HWY SURGERY
SHREVEPORT, LA 71103-4228
Phone number: 318-813-2655
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Mailing Address
ANDREW JAY CLELAND MD
1501 KINGS HWY SURGERY
SHREVEPORT, LA 71103-4228
Phone number: 318-813-2655
Copy
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