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Individual

DEMERRIS GUILLORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
725 JORDAN ST, SHREVEPORT, LA 71101-4615
(318) 221-1993
Mailing address
725 JORDAN ST, SHREVEPORT, LA 71101-4615
(318) 221-1993

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/19/2015
Last updated
10/19/2015
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