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1750697314
PLASTIC SURGERY OF SHREVEPORT, INC
SHREVEPORT, LA
NPI
1750697314
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Entity Type
Organization
Authorized Contact
PAUL M DAVIS
President
318-797-9199
Organization Subpart ?
No
Primary Taxonomy
208200000X Plastic Surgery
Enumeration Date
2010-08-20
Last Update Date
2010-08-20
Business Address
PLASTIC SURGERY OF SHREVEPORT, INC
1666 E BERT KOUNS LOOP STE 145
SHREVEPORT, LA 71105-5714
Phone number: 318-797-9199
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Mailing Address
PLASTIC SURGERY OF SHREVEPORT, INC
1666 EAST BERT KOUNS INS LOOP STE 145
SHREVEPORT, LA 71105-5718
Phone number: 318-797-9199
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