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1073950028
DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT, LLC
SHREVEPORT, LA
NPI
1073950028
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Entity Type
Organization
Authorized Contact
CLAY CRENSHAW
President
318-212-1194
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2013-05-31
Last Update Date
2014-10-30
Business Address
DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT, LLC
1560 IRVING PL SUITE 501
SHREVEPORT, LA 71101-4604
Phone number: 318-212-1194
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Mailing Address
DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT, LLC
1560 IRVING PL SUITE 501
SHREVEPORT, LA 71101-4604
Phone number: 318-212-1194
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