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1871880823
VILMOGIL TACTAY TANO
SHREVEPORT, LA
NPI
1871880823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: LA MD.206961)
Enumeration Date
2011-06-28
Last Update Date
2014-06-25
Business Address
-- VILMOGIL TACTAY TANO M.D.
2551 GREENWOOD RD SUITE 410
SHREVEPORT, LA 71103-3981
Phone number: 318-621-2929
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Mailing Address
-- VILMOGIL TACTAY TANO M.D.
2551 GREENWOOD RD SUITE 410
SHREVEPORT, LA 71103-3981
Phone number: 318-621-2929
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