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1942585609
SAM ANTHONY MEDICA
SHREVEPORT, LA
NPI
1942585609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2011-10-13
Last Update Date
2011-10-13
Business Address
Mr. SAM ANTHONY MEDICA L.P.C.
1310 NORTH HEARNE AVE
SHREVEPORT, LA 71107
Phone number: 318-676-5111
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Mailing Address
Mr. SAM ANTHONY MEDICA L.P.C.
P O BOX 7904
SHREVEPORT, LA 71137-7904
Phone number: 318-676-5111
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