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1902310899
ISLAM LLC
SHREVEPORT, LA
NPI
1902310899
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Entity Type
Organization
Authorized Contact
JAHRUL ISLAM
Physician
318-773-0657
Organization Subpart ?
No
Primary Taxonomy
282N00000X General Acute Care Hospital
Enumeration Date
2017-11-30
Last Update Date
2018-06-19
Business Address
ISLAM LLC
9815 PARAGON LN
SHREVEPORT, LA 71115
Phone number: 318-773-0657
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Mailing Address
ISLAM LLC
PO BOX 19284
SHREVEPORT, LA 71149-0284
Phone number: 318-773-0657
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