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1437118429
MONSOUR MIRFAKHRAEE
SHREVEPORT, LA
NPI
1437118429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: LA MD05503R)
Enumeration Date
2006-03-20
Last Update Date
2014-02-03
Business Address
-- MONSOUR MIRFAKHRAEE MD
2600 GREENWOOD RD
SHREVEPORT, LA 71103-3908
Phone number: 318-212-4550
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Mailing Address
-- MONSOUR MIRFAKHRAEE MD
PO BOX 9600 DEPT 09-033
TEXARKANA, TX 75505-9600
Phone number: 877-243-8416
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