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1316228984
CHOICE PEDIATRICS, LLC
SHREVEPORT, LA
NPI
1316228984
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Entity Type
Organization
Authorized Contact
OLABODE O DESALU
Owner
318-290-3673
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: LA 15345R)
Enumeration Date
2011-09-08
Last Update Date
2011-12-29
Business Address
CHOICE PEDIATRICS, LLC
6930 FERN AVE SUITE 150
SHREVEPORT, LA 71105-4100
Phone number: 318-290-3673
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Mailing Address
CHOICE PEDIATRICS, LLC
PO BOX 5866
SHREVEPORT, LA 71135-5866
Phone number: 318-290-3673
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