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1528609104
SPECTRA FAMILY CLINIC, LLC
SHREVEPORT, LA
NPI
1528609104
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Entity Type
Organization
Authorized Contact
ANGELA MARTIN
Owner
318-779-1282
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2019-10-04
Last Update Date
2019-10-04
Business Address
SPECTRA FAMILY CLINIC, LLC
9300 MANSFIELD RD STE 209
SHREVEPORT, LA 71118-3138
Phone number: 318-779-1282
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Mailing Address
SPECTRA FAMILY CLINIC, LLC
9300 MANSFIELD RD STE 209
SHREVEPORT, LA 71118-3138
Phone number: 318-779-1282
Copy
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