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Warren David. Long
Specialist in Shreveport, Louisiana
NPI 1689834400

Warren David. Long is a Specialist based in Shreveport, LA. Warren David. Long practices in Shreveport, LA. The NPI Number for Warren David. Long is 1689834400 and holds a License No. 02812R (Louisiana).

The current practice location address for Warren David. Long is 2625 Line Ave, Shreveport, LA and can be reached out via phone at 318-424-8436 and via fax at 318-424-8438.

Location: 2625 Line Ave, Shreveport, LA, 71104-3047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689834400
Provider Name
Warren David. Long
Credential
Provider Entity Type
Organization
Address
2625 Line Ave, Shreveport, LA, 71104-3047
Phone Number
318-424-8436
Fax Number
318-424-8438
Provider Enumeration Date
06/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1107948 05 LA
institution
Provider Business Practice Location Address Details
Address
2625 Line Ave
City
Shreveport
State
Louisiana
Zip
71104-3047
Phone Number
318-424-8436
Fax Number
318-424-8438
person
Provider Business Mailing Address Details
Address
2625 Line Ave
City
Shreveport
State
Louisiana
Zip
71104-3047
Phone Number
318-424-8436
Fax Number
318-424-8438
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
02812R (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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