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1376618439
REGINA FAKNER, MD, LLC
SHREVEPORT, LA
NPI
1376618439
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Entity Type
Organization
Authorized Contact
REGIAN FAKNER
Owner
318-226-4892
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: LA 11308R)
Enumeration Date
2006-11-22
Last Update Date
2009-10-08
Business Address
REGINA FAKNER, MD, LLC
1801 FAIRFIELD AVE SUITE 203
SHREVEPORT, LA 71101-4443
Phone number: 318-226-4892
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Mailing Address
REGINA FAKNER, MD, LLC
1801 FAIRFIELD AVE SUITE 203
SHREVEPORT, LA 71101-4443
Phone number: 318-226-4892
Copy
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