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1508522558
OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC
SHREVEPORT, LA
NPI
1508522558
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Entity Type
Organization
Authorized Contact
VERNON MOORE
CFO
318-626-0990
Organization Subpart ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
Enumeration Date
2021-11-15
Last Update Date
2021-11-15
Business Address
OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC
1 SAINT MARY PL
SHREVEPORT, LA 71101-4307
Phone number: 318-626-4300
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Mailing Address
OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0284
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