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1952944894
RED RIVER MEDICINE, LLC
SHREVEPORT, LA
NPI
1952944894
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Entity Type
Organization
Authorized Contact
JOSEPH R TYNES
Md/Owner
318-549-0929
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2019-10-23
Last Update Date
2020-01-07
Business Address
RED RIVER MEDICINE, LLC
1500 LINE AVE
SHREVEPORT, LA 71101-4639
Phone number: 318-213-3800
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Mailing Address
RED RIVER MEDICINE, LLC
PO BOX 52364
SHREVEPORT, LA 71135-2364
Phone number: 318-798-4606
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