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1609297449
HIGHLAND CLINIC, A PROF MED CORP
SHREVEPORT, LA
NPI
1609297449
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Entity Type
Organization
Authorized Contact
DEBBIE W SMITH
CEO
318-798-4598
Organization Subpart ?
No
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2013-12-20
Last Update Date
2023-05-30
Business Address
HIGHLAND CLINIC, A PROF MED CORP
1455 E BERT KOUNS INDUSTRIAL LOOP # 101
SHREVEPORT, LA 71105-5634
Phone number: 318-798-4493
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Mailing Address
HIGHLAND CLINIC, A PROF MED CORP
1455 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105-5634
Phone number: 318-798-4539
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