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1194703561
PEDIATRIC ASSOCIATES OF SHREVEPORT, LLC
SHREVEPORT, LA
NPI
1194703561
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Entity Type
Organization
Authorized Contact
DARRELL BARNETT
Partner
318-524-1717
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2006-01-05
Last Update Date
2022-07-21
Business Address
PEDIATRIC ASSOCIATES OF SHREVEPORT, LLC
1717 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105-5561
Phone number: 318-524-1717
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Mailing Address
PEDIATRIC ASSOCIATES OF SHREVEPORT, LLC
1717 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105-5561
Phone number: 318-524-1717
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