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1306906730
THE ASTHMA ALLERGY CLINIC
SHREVEPORT, LA
NPI
1306906730
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Entity Type
Organization
Authorized Contact
PETER BRYAN BOGGS
Owner
318-221-3584
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: LA MD 009735)
Enumeration Date
2006-12-08
Last Update Date
2020-08-22
Business Address
THE ASTHMA ALLERGY CLINIC
1717 E BERT KOUNS INDUSTRIAL LOOP SUITE B
SHREVEPORT, LA 71105-5561
Phone number: 318-221-3584
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Mailing Address
THE ASTHMA ALLERGY CLINIC
PO BOX 53407
SHREVEPORT, LA 71135-3407
Phone number: 318-221-3584
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