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1972058170
DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT LLC
SHREVEPORT, LA
NPI
1972058170
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Entity Type
Organization
Authorized Contact
CHARLES C. CRENSHAW
President
318-212-1194
Organization Subpart ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2016-08-18
Last Update Date
2016-08-18
Business Address
DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT LLC
1560 IRVING PL
SHREVEPORT, LA 71101-4604
Phone number: 318-212-1194
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Mailing Address
DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT LLC
1560 IRVING PL
SHREVEPORT, LA 71101-4604
Phone number: 318-212-1194
Copy
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