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1699706853
TED B WARREN MD A PROFESSIONAL MEDICAL CORPORATION
BOSSIER CITY, LA
NPI
1699706853
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Entity Type
Organization
Authorized Contact
GREG J GAVIN
Network Administrator
318-212-7830
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-07-06
Last Update Date
2020-08-22
Business Address
TED B WARREN MD A PROFESSIONAL MEDICAL CORPORATION
2300 HOSPITAL DR SUITE 200
BOSSIER CITY, LA 71111-2394
Phone number: 318-212-7930
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Mailing Address
TED B WARREN MD A PROFESSIONAL MEDICAL CORPORATION
2300 HOSPITAL DR SUITE 200
BOSSIER CITY, LA 71111-2394
Phone number: 318-212-7930
Copy
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