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1962908244
JOHN AUSTIN BRADSHAW
SHREVEPORT, LA
NPI
1962908244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-04-04
Last Update Date
2018-04-04
Business Address
JOHN AUSTIN BRADSHAW MD
1501 KINGS HIGHWAY INTERNAL MEDICINE
SHREVEPORT, LA 71130
Phone number: 318-626-0434
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Mailing Address
JOHN AUSTIN BRADSHAW MD
1501 KINGS HIGHWAY INTERNAL MEDICINE
SHREVEPORT, LA 71130
Phone number: 318-626-0434
Copy
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