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1497047963
WK SOUTH ORTHOPEDIC CLINIC
SHREVEPORT, LA
NPI
1497047963
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Entity Type
Organization
Authorized Contact
GREG J. GAVIN
Network Administrator
318-212-4232
Organization Subpart ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
Enumeration Date
2011-05-03
Last Update Date
2011-05-03
Business Address
WK SOUTH ORTHOPEDIC CLINIC
2520 BERT KOUNS LOOP SUITE 105
SHREVEPORT, LA 71118-3130
Phone number: 318-212-5886
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Mailing Address
WK SOUTH ORTHOPEDIC CLINIC
2520 BERT KOUNS LOOP SUITE 105
SHREVEPORT, LA 71118-3130
Phone number: 318-212-5886
Copy
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