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1154498491
DONALD GENE MACK
SHREVEPORT, LA
NPI
1154498491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: LA 018958)
Enumeration Date
2006-11-30
Last Update Date
2007-12-17
Business Address
-- DONALD GENE MACK MD
1799 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105-5561
Phone number: 318-797-9000
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Mailing Address
-- DONALD GENE MACK MD
1799 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105-5561
Phone number: 318-797-9000
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