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1376745794
WK PIERREMONT PEDIATRICS
SHREVEPORT, LA
NPI
1376745794
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Entity Type
Organization
Authorized Contact
GREG J. GAVIN
Network Administrator
318-212-4232
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2007-06-05
Last Update Date
2012-06-12
Business Address
WK PIERREMONT PEDIATRICS
1811 E BERT KOUNS INDUSTRIAL LOOP SUITE 140
SHREVEPORT, LA 71105-5563
Phone number: 318-797-9000
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Mailing Address
WK PIERREMONT PEDIATRICS
1811 E BERT KOUNS INDUSTRIAL LOOP SUITE 140
SHREVEPORT, LA 71105-5563
Phone number: 318-797-9000
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