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1356713440
DELTA NEPHROLOGY LLC
SHREVEPORT, LA
NPI
1356713440
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Entity Type
Organization
Authorized Contact
RANDALL G WHITE
Owner
318-226-0809
Organization Subpart ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
Enumeration Date
2015-10-28
Last Update Date
2015-10-28
Business Address
DELTA NEPHROLOGY LLC
745 OLIVE ST SUITE 200
SHREVEPORT, LA 71104-2246
Phone number: 318-226-0809
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Mailing Address
DELTA NEPHROLOGY LLC
PO BOX 1684
SHREVEPORT, LA 71165-1684
Phone number: 318-424-4008
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