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1316386436
WK PEDIATRIC SURGICAL ASSOCIATES
SHREVEPORT, LA
NPI
1316386436
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Entity Type
Organization
Authorized Contact
GREG J GAVIN
Network Administrator
318-212-4232
Organization Subpart ?
No
Primary Taxonomy
2086S0120X Surgery, Pediatric Surgery
Enumeration Date
2013-06-21
Last Update Date
2013-06-24
Business Address
WK PEDIATRIC SURGICAL ASSOCIATES
2508 BERT KOUNS LOOP
SHREVEPORT, LA 71118-3133
Phone number: 318-212-5880
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Mailing Address
WK PEDIATRIC SURGICAL ASSOCIATES
2508 BERT KOUNS LOOP
SHREVEPORT, LA 71118-3133
Phone number: 318-212-5880
Copy
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