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1790003523
SMINK SANGSURA
SHREVEPORT, LA
NPI
1790003523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2010-05-04
Last Update Date
2010-05-04
Business Address
-- SMINK SANGSURA MD
1501 KINGS HWY DEPARTMENT OF PSYCHIATRY
SHREVEPORT, LA 71103-4228
Phone number: 318-813-2088
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Mailing Address
-- SMINK SANGSURA MD
1501 KINGS HWY DEPARTMENT OF PSYCHIATRY
SHREVEPORT, LA 71103-4228
Phone number: 318-813-2088
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