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1548408628
WK PEDIATRIC EYE SPECIALISTS
SHREVEPORT, LA
NPI
1548408628
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Entity Type
Organization
Authorized Contact
GREG J. GAVIN
Network Administrator
318-212-4232
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2009-01-28
Last Update Date
2012-06-11
Business Address
WK PEDIATRIC EYE SPECIALISTS
1202 LOUISIANA AVE
SHREVEPORT, LA 71101-3910
Phone number: 318-212-8946
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Mailing Address
WK PEDIATRIC EYE SPECIALISTS
1202 LOUISIANA AVE
SHREVEPORT, LA 71101-3910
Phone number: 318-212-8946
Copy
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