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1700929874
THE PLASTIC SURGERY CENTER LLP
SHREVEPORT, LA
NPI
1700929874
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Entity Type
Organization
Authorized Contact
FORREST WALL
Owner
318-221-1629
Organization Subpart ?
No
Primary Taxonomy
2086S0122X Surgery, Plastic and Reconstructive Surgery
Enumeration Date
2007-02-15
Last Update Date
2007-10-24
Business Address
THE PLASTIC SURGERY CENTER LLP
385 BERT KOUNS IND. LOOP, BLDG 100
SHREVEPORT, LA 71106-8124
Phone number: 318-221-1629
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Mailing Address
THE PLASTIC SURGERY CENTER LLP
385 BERT KOUNS IND. LOOP, BLDG 100
SHREVEPORT, LA 71106-8124
Phone number: 318-221-1629
Copy
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