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1225040181
ADETOKUNBO B DESALU
SHREVEPORT, LA
NPI
1225040181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 043195)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
Dr. ADETOKUNBO B DESALU M.D.
510 E STONER AVE VA MEDICAL CENTER
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
Dr. ADETOKUNBO B DESALU M.D.
9698 CALLIOPE LN
SHREVEPORT, LA 71115-4600
Phone number: 318-211-8411
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