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1922036763
WK HAUGHTON MEDICAL GROUP
BOSSIER CITY, LA
NPI
1922036763
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Entity Type
Organization
Authorized Contact
GREG J. GAVIN
Network Administrator
318-649-2495
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-06-29
Last Update Date
2022-05-19
Business Address
WK HAUGHTON MEDICAL GROUP
5751 SHED RD STE 120
BOSSIER CITY, LA 71111-5662
Phone number: 318-935-1992
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Mailing Address
WK HAUGHTON MEDICAL GROUP
5751 SHED RD STE 120
BOSSIER CITY, LA 71111-5662
Phone number: 318-935-1992
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