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1528406915
WKN TRISTATE NEUROLOGY CLINIC
SHREVEPORT, LA
NPI
1528406915
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Entity Type
Organization
Authorized Contact
GREG J. GAVIN
Network Administrator
318-212-4232
Organization Subpart ?
No
Primary Taxonomy
207T00000X Neurological Surgery
Enumeration Date
2013-06-07
Last Update Date
2013-06-07
Business Address
WKN TRISTATE NEUROLOGY CLINIC
2551 GREENWOOD RD SUITE 240
SHREVEPORT, LA 71103-3981
Phone number: 318-212-8675
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Mailing Address
WKN TRISTATE NEUROLOGY CLINIC
2551 GREENWOOD RD SUITE 240
SHREVEPORT, LA 71103-3981
Phone number: 318-212-8675
Copy
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