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Individual

MORGAN STANSBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3735 BLAIR DR, SHREVEPORT, LA 71103-4601
(318) 813-4200
(318) 813-2975
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 813-2962
(318) 813-2975

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8610
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1174173
LA
Enumeration date
06/11/2020
Last updated
06/11/2020
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