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1144297490
REGINA FAKNER
SHREVEPORT, LA
NPI
1144297490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: LA 23952)
Enumeration Date
2006-03-07
Last Update Date
2007-07-08
Business Address
-- REGINA FAKNER MD
1801 FAIRFIELD AVE SUITE 203
SHREVEPORT, LA 71101-4443
Phone number: 318-226-4892
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Mailing Address
-- REGINA FAKNER MD
1801 FAIRFIELD AVE SUITE 203
SHREVEPORT, LA 71101-4443
Phone number: 318-226-4892
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