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1659316727
WK PIERREMONT ENT
SHREVEPORT, LA
NPI
1659316727
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Entity Type
Organization
Authorized Contact
GREG J. GAVIN
Network Administrator
318-212-3960
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
Enumeration Date
2006-06-20
Last Update Date
2013-01-23
Business Address
WK PIERREMONT ENT
7847 YOUREE DR
SHREVEPORT, LA 71105-5505
Phone number: 318-212-3960
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Mailing Address
WK PIERREMONT ENT
7847 YOUREE DR
SHREVEPORT, LA 71105-5505
Phone number: 318-212-3960
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