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1588692180
KATHLEEN PORTER NP AND WILLIS-KNIGHTON MEDICAL CENTER
SHREVEPORT, LA
NPI
1588692180
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Entity Type
Organization
Authorized Contact
GREG J. GAVIN
Network Administrator
318-212-3787
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2006-06-30
Last Update Date
2008-06-13
Business Address
KATHLEEN PORTER NP AND WILLIS-KNIGHTON MEDICAL CENTER
8001 YOUREE DR SUITE 650
SHREVEPORT, LA 71115-2302
Phone number: 318-212-3787
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Mailing Address
KATHLEEN PORTER NP AND WILLIS-KNIGHTON MEDICAL CENTER
8001 YOUREE DR SUITE 650
SHREVEPORT, LA 71115-2302
Phone number: 318-212-3787
Copy
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