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1750309001
JOHN ALEXANDER MATA
SHREVEPORT, LA
NPI
1750309001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: LA 07036R)
Enumeration Date
2006-07-17
Last Update Date
2009-08-20
Business Address
-- JOHN ALEXANDER MATA M.D.
1501 KINGS HWY DEPARTMENT OF UROLOGY
SHREVEPORT, LA 71103-4228
Phone number: 318-813-2750
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Mailing Address
-- JOHN ALEXANDER MATA M.D.
1501 KINGS HWY DEPARTMENT OF UROLOGY
SHREVEPORT, LA 71103-4228
Phone number: 318-813-2750
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