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1164464889
WK LOUISIANA FAMILY PRACTICE
BOSSIER CITY, LA
NPI
1164464889
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Entity Type
Organization
Authorized Contact
GREG J. GAVIN
Network Administrator
318-212-8780
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-06-11
Last Update Date
2012-06-08
Business Address
WK LOUISIANA FAMILY PRACTICE
2300 HOSPITAL DR SUITE 200
BOSSIER CITY, LA 71111-2394
Phone number: 318-212-7830
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Mailing Address
WK LOUISIANA FAMILY PRACTICE
2300 HOSPITAL DR SUITE 200
BOSSIER CITY, LA 71111-2394
Phone number: 318-212-7830
Copy
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