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1427490937
BOMBINAMD LLC
SHREVEPORT, LA
NPI
1427490937
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Entity Type
Organization
Authorized Contact
SUYAH M LOUD-DOCKETT
Owner
318-946-8183
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: LA 15815r)
Enumeration Date
2013-07-25
Last Update Date
2013-07-25
Business Address
BOMBINAMD LLC
4140 HOLLYWOOD AVE SUITE B-2
SHREVEPORT, LA 71109-7818
Phone number: 318-946-8183
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Mailing Address
BOMBINAMD LLC
4140 HOLLYWOOD AVE SUITE B-2
SHREVEPORT, LA 71109-7818
Phone number: 318-946-8183
Copy
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