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1942237813
CLARENCE TEAGLE MD AND WILLIS-KNIGHTON MEDICAL CENTER
SHREVEPORT, LA
NPI
1942237813
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Entity Type
Organization
Authorized Contact
GREG J. GAVIN
Network Administrator
318-212-3952
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-06-27
Last Update Date
2020-08-22
Business Address
CLARENCE TEAGLE MD AND WILLIS-KNIGHTON MEDICAL CENTER
8001 YOUREE DR SUITE 450
SHREVEPORT, LA 71115-2302
Phone number: 318-212-3952
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Mailing Address
CLARENCE TEAGLE MD AND WILLIS-KNIGHTON MEDICAL CENTER
8001 YOUREE DR SUITE 450
SHREVEPORT, LA 71115-2302
Phone number: 318-212-3952
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