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1619561073
MEDICAL WIGS BY KIMBERLY
SHREVEPORT, LA
NPI
1619561073
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Entity Type
Organization
Authorized Contact
KIMBERLY BRYANT
Owner
318-453-3693
Organization Subpart ?
No
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2021-02-25
Last Update Date
2021-02-25
Business Address
MEDICAL WIGS BY KIMBERLY
1303 LINE AVE STE 300
SHREVEPORT, LA 71101-4628
Phone number: 318-453-3693
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Mailing Address
MEDICAL WIGS BY KIMBERLY
1303 LINE AVE STE 300
SHREVEPORT, LA 71101-4628
Phone number: 318-453-3693
Copy
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