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1891168761
HIGHLAND CLINIC, A PROF MED CORP
SHREVEPORT, LA
NPI
1891168761
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Entity Type
Organization
Authorized Contact
DEBBIE W. SMITH
Administrator
318-798-4598
Organization Subpart ?
No
Primary Taxonomy
207W00000X Ophthalmology
Enumeration Date
2015-11-02
Last Update Date
2015-12-08
Business Address
HIGHLAND CLINIC, A PROF MED CORP
1400 E BERT KOUN LOOP #103
SHREVEPORT, LA 71105-5603
Phone number: 318-222-8402
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Mailing Address
HIGHLAND CLINIC, A PROF MED CORP
1455 E BERT KOUN LOOP
SHREVEPORT, LA 71105-5634
Phone number: 318-798-4500
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