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1861671869
MID-CITY FAMILY CLINIC, LLC
SHREVEPORT, LA
NPI
1861671869
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Entity Type
Organization
Authorized Contact
RUSSELL SHANE CARR
Owner/Doctor
318-221-3525
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2007-10-26
Last Update Date
2022-07-21
Business Address
MID-CITY FAMILY CLINIC, LLC
838 MARGARET PL
SHREVEPORT, LA 71101-4509
Phone number: 318-221-3525
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Mailing Address
MID-CITY FAMILY CLINIC, LLC
PO BOX 629
HAUGHTON, LA 71037-0629
Phone number: 318-221-3525
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