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1851978134
KRISTEN GAVIDIA
SHREVEPORT, LA
NPI
1851978134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 340867)
Enumeration Date
2021-03-24
Last Update Date
2024-05-24
Business Address
KRISTEN GAVIDIA DO
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
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Mailing Address
KRISTEN GAVIDIA DO
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0287
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