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1760025001
BRAIN & PAIN CARE, LLC
SHREVEPORT, LA
NPI
1760025001
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Entity Type
Organization
Authorized Contact
JAI MUNJAMPALLI
Owner
318-469-8517
Organization Subpart ?
No
Primary Taxonomy
208VP0000X Pain Medicine, Pain Medicine
Enumeration Date
2019-10-18
Last Update Date
2021-09-03
Business Address
BRAIN & PAIN CARE, LLC
7600 FERN AVE STE 700B
SHREVEPORT, LA 71105-5673
Phone number: 318-616-6000
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Mailing Address
BRAIN & PAIN CARE, LLC
8020 CAPTAIN DILLON CT
SHREVEPORT, LA 71115-4606
Phone number: 318-469-8517
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