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1578190229
AMBER VICTORIA MCKENNA
SHREVEPORT, LA
NPI
1578190229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-24
Last Update Date
2020-03-24
Business Address
AMBER VICTORIA MCKENNA MD
1501 KINGS HWY # SURGERY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0617
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Mailing Address
AMBER VICTORIA MCKENNA MD
1501 KINGS HWY # SURGERY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0617
Copy
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