NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1013367572
CORLEY
MARY
2525 YOUREE DR STE 110
SHREVEPORT
LA
711043600
1326564329
COURVILLE
JAMIE
B
2525 YOUREE DR STE 110
SHREVEPORT
LA
711043600
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