GRACE SUN

SHREVEPORT, LA
NPI1831385095
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: LA  000298)
Additional Taxonomies207R00000X Internal Medicine
(Licence: LA  000298)
Enumeration Date2007-09-21
Last Update Date2022-02-04
Business Address
-- GRACE SUN DO
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-5000
Mailing Address
-- GRACE SUN DO
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-675-5000
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