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1215185855
GERIATRIC MEDICAL CORPORATION
SHREVEPORT, LA
NPI
1215185855
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Entity Type
Organization
Authorized Contact
DAVID T HENRY
Physician
318-212-3830
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: LA L010682)
Enumeration Date
2008-09-08
Last Update Date
2008-09-08
Business Address
GERIATRIC MEDICAL CORPORATION
7813 YOUREE DR
SHREVEPORT, LA 71105-5505
Phone number: 318-212-3830
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Mailing Address
GERIATRIC MEDICAL CORPORATION
1300 GRIMMETT DR
SHREVEPORT, LA 71107-6502
Phone number: 318-212-3830
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