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1609367713
MAIRA QAYYUM
SHREVEPORT, LA
NPI
1609367713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: LA 333168)
Enumeration Date
2018-05-24
Last Update Date
2022-09-20
Business Address
MAIRA QAYYUM
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
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Mailing Address
MAIRA QAYYUM
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0287
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