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1023167731
RED RIVER PEDIATRIC CLINIC, LLC
SHREVEPORT, LA
NPI
1023167731
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Entity Type
Organization
Authorized Contact
NATALIE MCCONNELL
Owner
318-221-2900
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2007-01-10
Last Update Date
2020-08-22
Business Address
RED RIVER PEDIATRIC CLINIC, LLC
1801 FAIRFIELD AVE SUITE 305
SHREVEPORT, LA 71101-4443
Phone number: 318-221-2900
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Mailing Address
RED RIVER PEDIATRIC CLINIC, LLC
1801 FAIRFIELD AVE SUITE 305
SHREVEPORT, LA 71101-4443
Phone number: 318-221-2900
Copy
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