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1154339257
VIRGINIA W SHORT
SHREVEPORT, LA
NPI
1154339257
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: LA 016879)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
Dr. VIRGINIA W SHORT MD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
Dr. VIRGINIA W SHORT MD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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