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1427088079
MARK RICHARD MAINOUS
SHREVEPORT, LA
NPI
1427088079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0102X Surgery, Surgical Critical Care
(Licence: LA 07555R)
Enumeration Date
2006-07-03
Last Update Date
2021-07-08
Business Address
Dr. MARK RICHARD MAINOUS MD
8001 YOUREE DR SUITE 840
SHREVEPORT, LA 71115-2302
Phone number: 318-212-2846
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Mailing Address
Dr. MARK RICHARD MAINOUS MD
8001 YOUREE DR SUITE 840
SHREVEPORT, LA 71115-2302
Phone number: 318-212-2846
Copy
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