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1912066556
THOMAS L. SMITH
SHREVEPORT, LA
NPI
1912066556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA 31740)
Enumeration Date
2006-12-08
Last Update Date
2007-07-08
Business Address
Mr. THOMAS L. SMITH CRNA
1130 LOUISIANA AVE
SHREVEPORT, LA 71101-3908
Phone number: 318-227-1211
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Mailing Address
Mr. THOMAS L. SMITH CRNA
1806 AUDUBON PL
SHREVEPORT, LA 71105-3424
Phone number: 318-227-1221
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