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1083631048
ISHAK MANSI
SHREVEPORT, LA
NPI
1083631048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: LA 151068R)
Enumeration Date
2006-07-16
Last Update Date
2008-06-19
Business Address
-- ISHAK MANSI M.D.
1501 KINGS HWY DEPARTMENT OF MEDICINE
SHREVEPORT, LA 71103-4228
Phone number: 318-813-2528
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Mailing Address
-- ISHAK MANSI M.D.
1501 KINGS HWY DEPARTMENT OF MEDICINE
SHREVEPORT, LA 71103-4228
Phone number: 318-813-2528
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