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1144640160
ADEBAYO AWE
SHREVEPORT, LA
NPI
1144640160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: TX T1288)
Enumeration Date
2014-04-17
Last Update Date
2022-05-03
Business Address
ADEBAYO AWE
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-6111
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Mailing Address
ADEBAYO AWE
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-6111
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