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Individual

STEPHANIE HATTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
510 KINGS HWY, SHREVEPORT, LA 71104-4444
(318) 424-0896
Mailing address
1301 COATES BLUFF DR APT 624, SHREVEPORT, LA 71104-2853
(318) 512-0446

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021659
LA

Other

Enumeration date
10/16/2016
Last updated
10/16/2016
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