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Individual

REBECCA ESKEW CLAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1501 KINGS HWY, SAHP PA PROGRAM, SHREVEPORT, LA 71103-4228
(318) 813-2927
(318) 813-2915
Mailing address
PO BOX 33932, SAHP PA PROGRAM, SHREVEPORT, LA 71130-3932
(318) 813-2927
(318) 813-2915

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200481
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2182960
LA
Enumeration date
09/30/2011
Last updated
06/15/2015
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