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1154945475
TABITHA MUUTU
SHREVEPORT, LA
NPI
1154945475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: KS 94-10332)
Enumeration Date
2020-06-02
Last Update Date
2021-07-26
Business Address
TABITHA MUUTU
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 514-412-1100
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Mailing Address
TABITHA MUUTU
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 514-412-1100
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