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1902538663
CONNOR ROAN
SHREVEPORT, LA
NPI
1902538663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246RM2200X Technician, Pathology, Medical Laboratory
(Licence: LA 327785)
Enumeration Date
2022-06-29
Last Update Date
2022-06-29
Business Address
CONNOR ROAN
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
CONNOR ROAN
39 CHIMNEY STONE WAY
SHREVEPORT, LA 71115-3154
Phone number: 318-401-7756
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