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1013375278
WK CENTER FOR NEUROSURGERY AT PIERREMONT
SHREVEPORT, LA
NPI
1013375278
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Entity Type
Organization
Authorized Contact
GREG J GAVIN
Network Administrator
318-212-8780
Organization Subpart ?
No
Primary Taxonomy
207T00000X Neurological Surgery
Enumeration Date
2016-02-03
Last Update Date
2016-02-03
Business Address
WK CENTER FOR NEUROSURGERY AT PIERREMONT
8001 YOUREE DR SUITE 850
SHREVEPORT, LA 71115-2302
Phone number: 318-424-2623
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Mailing Address
WK CENTER FOR NEUROSURGERY AT PIERREMONT
1202 LOUISIANA AVE
SHREVEPORT, LA 71101-3910
Phone number: 318-212-6745
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