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1952610883
SHANNON LEA BETZING
SHREVEPORT, LA
NPI
1952610883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA PA.200377)
Enumeration Date
2010-09-27
Last Update Date
2012-04-09
Business Address
-- SHANNON LEA BETZING PA
2727 HEARNE AVE SUITE 300
SHREVEPORT, LA 71103-3931
Phone number: 318-798-9400
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Mailing Address
-- SHANNON LEA BETZING PA
PO BOX 51008
SHREVEPORT, LA 71135-1008
Phone number: 318-798-9400
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