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1134295520
D GENE MACK JR MD AND WILLIS-KNIGHTON MEDICAL CENTER
SHREVEPORT, LA
NPI
1134295520
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Entity Type
Organization
Authorized Contact
GREG J GAVIN
Network Administrator
318-212-4232
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2006-11-28
Last Update Date
2020-08-22
Business Address
D GENE MACK JR MD AND WILLIS-KNIGHTON MEDICAL CENTER
1799 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105-5561
Phone number: 318-797-9000
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Mailing Address
D GENE MACK JR MD AND WILLIS-KNIGHTON MEDICAL CENTER
1799 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105-5561
Phone number: 318-797-9000
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