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1649350968
EAR NOSE & THROAT CENTER A MEDICAL CORPORATION
SHREVEPORT, LA
NPI
1649350968
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Entity Type
Organization
Authorized Contact
W. JUAN WATKINS
President
318-226-9441
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
Enumeration Date
2006-10-17
Last Update Date
2007-07-12
Business Address
EAR NOSE & THROAT CENTER A MEDICAL CORPORATION
2121 LINE AVE
SHREVEPORT, LA 71104-2126
Phone number: 318-226-9441
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Mailing Address
EAR NOSE & THROAT CENTER A MEDICAL CORPORATION
2121 LINE AVE
SHREVEPORT, LA 71104-2126
Phone number: 318-226-9441
Copy
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