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1285666487
GERALD BRENT WHITTON
SHREVEPORT, LA
NPI
1285666487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics Neonatal-Perinatal Medicine
(Licence: LA 024459)
Enumeration Date
2006-07-07
Last Update Date
2021-06-17
Business Address
GERALD BRENT WHITTON MD
2510 BERT KOUNS INDUSTRIAL LOOP STE 215
SHREVEPORT, LA 71118-3119
Phone number: 318-212-5970
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Mailing Address
GERALD BRENT WHITTON MD
PO BOX 3038
SHREVEPORT, LA 71133-3038
Phone number: 318-212-5970
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