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1588675839
DWAYNE KELLER
SHREVEPORT, LA
NPI
1588675839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: LA MD.020144)
Enumeration Date
2006-08-11
Last Update Date
2015-12-09
Business Address
-- DWAYNE KELLER MD
510 E STONER AVE OVERTON-BROOKS VA MEDICAL CENTER
SHREVEPORT, LA 71101-4243
Phone number: 318-424-6025
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Mailing Address
-- DWAYNE KELLER MD
510 E. STONER AVE. OVERTON BROOKS VA MEDICAL CENTER
SHREVEPORT, LA 71101
Phone number: 318-990-5325
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