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1912134594
JESSICA WEISS SCORDINO
SHREVEPORT, LA
NPI
1912134594
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Former Name
JESSICA R WEISS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2009-06-22
Last Update Date
2014-09-29
Business Address
-- JESSICA WEISS SCORDINO MD
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-6262
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Mailing Address
-- JESSICA WEISS SCORDINO MD
2600 CELEBRATION CV APT 606
SHREVEPORT, LA 71105-6213
Phone number: 315-569-4198
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