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1881454320
MY AT HOME MD, LLC
SHREVEPORT, LA
NPI
1881454320
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Entity Type
Organization
Authorized Contact
KATHRYN THOMAS
CEO
318-227-4088
Organization Subpart ?
No
Primary Taxonomy
261QH0100X Clinic/Center, Health Services
Enumeration Date
2024-03-21
Last Update Date
2024-03-21
Business Address
MY AT HOME MD, LLC
745 OLIVE ST STE 202
SHREVEPORT, LA 71104-2246
Phone number: 318-227-4088
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Mailing Address
MY AT HOME MD, LLC
745 OLIVE ST STE 202
SHREVEPORT, LA 71104-2246
Phone number: 318-227-4088
Copy
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