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1063072197
WK PEDIATRIC HEALTH & WELLNESS
SHREVEPORT, LA
NPI
1063072197
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Entity Type
Organization
Authorized Contact
GREG J GAVIN
Network Administrator
318-212-8951
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2019-06-20
Last Update Date
2019-06-20
Business Address
WK PEDIATRIC HEALTH & WELLNESS
909 OLIVE ST
SHREVEPORT, LA 71104-2103
Phone number: 318-698-3291
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Mailing Address
WK PEDIATRIC HEALTH & WELLNESS
1202 LOUISIANA AVE
SHREVEPORT, LA 71101-3910
Phone number: 318-212-8951
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