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1639349491
MAINSTREAM HEALTH, LLC
SHREVEPORT, LA
NPI
1639349491
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Entity Type
Organization
Authorized Contact
CHIDIADI DIKE
Managing Member
318-636-1717
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2008-03-08
Last Update Date
2008-06-11
Business Address
MAINSTREAM HEALTH, LLC
5930 MANSFIELD RD
SHREVEPORT, LA 71108-3816
Phone number: 318-636-1717
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Mailing Address
MAINSTREAM HEALTH, LLC
5930 MANSFIELD RD
SHREVEPORT, LA 71108-3816
Phone number: 318-636-1717
Copy
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