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1902085186
WK KINNEBREW AND JOHNSON CLINIC
SHREVEPORT, LA
NPI
1902085186
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Entity Type
Organization
Authorized Contact
GREG J. GAVIN
Network Administrator
318-212-4232
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2007-10-24
Last Update Date
2012-06-08
Business Address
WK KINNEBREW AND JOHNSON CLINIC
2508 BERT KOUNS LOOP STE 102
SHREVEPORT, LA 71118-3175
Phone number: 318-688-6630
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Mailing Address
WK KINNEBREW AND JOHNSON CLINIC
2508 BERT KOUNS LOOP STE 102
SHREVEPORT, LA 71118-3175
Phone number: 318-688-6630
Copy
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