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1609967017
GEORGE MYCHASKIW
SHREVEPORT, LA
NPI
1609967017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: LA 321616)
Enumeration Date
2006-09-28
Last Update Date
2023-09-19
Business Address
GEORGE MYCHASKIW D.O.
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
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Mailing Address
GEORGE MYCHASKIW D.O.
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number:
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