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1194980524
SPARROW MEDICAL GROUP
SHREVEPORT, LA
NPI
1194980524
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Entity Type
Organization
Authorized Contact
MILDRED WARE SCOTT
Authorized Official
318-934-0082
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2008-07-24
Last Update Date
2008-08-20
Business Address
SPARROW MEDICAL GROUP
3736 N MARKET ST
SHREVEPORT, LA 71107-3104
Phone number: 318-934-0082
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Mailing Address
SPARROW MEDICAL GROUP
PO BOX 7276
SHREVEPORT, LA 71137-7276
Phone number: 318-934-0082
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