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1386825172
WK FREDERICK AND BRAUD CLINIC
SHREVEPORT, LA
NPI
1386825172
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Entity Type
Organization
Authorized Contact
GREG J. GAVIN
Network Administrator
318-212-4232
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2007-11-20
Last Update Date
2013-07-29
Business Address
WK FREDERICK AND BRAUD CLINIC
2508 BERT KOUNS LOOP SUITE 102
SHREVEPORT, LA 71118-3133
Phone number: 318-212-5777
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Mailing Address
WK FREDERICK AND BRAUD CLINIC
2508 BERT KOUNS LOOP SUITE 102
SHREVEPORT, LA 71118-3133
Phone number: 318-212-5777
Copy
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