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1760779508
WK SOUTH SURGICAL HOSPITALISTS
SHREVEPORT, LA
NPI
1760779508
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Entity Type
Organization
Authorized Contact
GREG J. GAVIN
Network Administrator
318-212-4654
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2011-06-30
Last Update Date
2012-06-08
Business Address
WK SOUTH SURGICAL HOSPITALISTS
1202 LOUISIANA AVE
SHREVEPORT, LA 71101-3910
Phone number: 318-212-8946
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Mailing Address
WK SOUTH SURGICAL HOSPITALISTS
1202 LOUISIANA AVE
SHREVEPORT, LA 71101-3910
Phone number: 318-212-8946
Copy
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