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Individual

MRS. KRISTI HARRISON GASPARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8383 MILLICENT WAY, SHREVEPORT, LA 71115-5207
(318) 797-6661
(318) 795-8512
Mailing address
2508 BERT KOUN LOOP STE 106, SHREVEPORT, LA 71118-3175
(318) 798-9881

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
310474
LA

Other

Enumeration date
08/29/2018
Last updated
05/08/2024
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