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1245800192
WK ELITE INTERNAL MEDICINE
SHREVEPORT, LA
NPI
1245800192
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Entity Type
Organization
Authorized Contact
MARY JANE WARD
Sr. VP Of Finance
318-716-4937
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2021-07-01
Last Update Date
2021-07-01
Business Address
WK ELITE INTERNAL MEDICINE
2551 GREENWOOD RD STE 220
SHREVEPORT, LA 71103-3985
Phone number: 318-635-9855
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Mailing Address
WK ELITE INTERNAL MEDICINE
2551 GREENWOOD RD STE 220
SHREVEPORT, LA 71103-3985
Phone number: 318-635-9855
Copy
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