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1255018388
WK SHREVEPORT INTERNAL MEDICINE
SHREVEPORT, LA
NPI
1255018388
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Entity Type
Organization
Authorized Contact
MARY JANE WARD
Senior VP Finance
318-716-4939
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2023-06-30
Last Update Date
2023-06-30
Business Address
WK SHREVEPORT INTERNAL MEDICINE
1449 E BERT KOUNS INDUSTRIAL LOOP STE 100
SHREVEPORT, LA 71105-5680
Phone number: 318-629-0220
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Mailing Address
WK SHREVEPORT INTERNAL MEDICINE
1202 LOUISIANA AVE
SHREVEPORT, LA 71101-3910
Phone number: 318-716-4939
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