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1861860629
WK PREMIER PEDIATRICS
BOSSIER CITY, LA
NPI
1861860629
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Entity Type
Organization
Authorized Contact
GREG J GAVIN
Network Administrator
318-212-8780
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2015-09-10
Last Update Date
2015-09-10
Business Address
WK PREMIER PEDIATRICS
2300 HOSPITAL DR SUITE 420
BOSSIER CITY, LA 71111-2394
Phone number: 318-212-7880
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Mailing Address
WK PREMIER PEDIATRICS
2300 HOSPITAL DR SUITE 420
BOSSIER CITY, LA 71111-2394
Phone number: 318-212-7880
Copy
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