NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1265024517
COLEMAN
STANCY
TOMEKIO
8055 CAPTAIN MARY MILLER DR
SHREVEPORT
LA
71115
1922694637
HENDERSON
LISA
LYNN
2800 YOUREE DR STE 120
SHREVEPORT
LA
711043667
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