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1962447052
WK RIVER CITIES INTERVENTIONAL PAIN
SHREVEPORT, LA
NPI
1962447052
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Entity Type
Organization
Authorized Contact
GREG J. GAVIN
Network Administrator
318-212-8085
Organization Subpart ?
No
Primary Taxonomy
207LP2900X Anesthesiology, Pain Medicine
Enumeration Date
2006-06-20
Last Update Date
2012-06-08
Business Address
WK RIVER CITIES INTERVENTIONAL PAIN
1811 E BERT KOUNS INDUSTRIAL LOOP SUITE 300
SHREVEPORT, LA 71105-5740
Phone number: 318-212-3636
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Mailing Address
WK RIVER CITIES INTERVENTIONAL PAIN
1811 E BERT KOUNS INDUSTRIAL LOOP SUITE 300
SHREVEPORT, LA 71105-5740
Phone number: 318-212-3636
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