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1972532166
WK SHREVEPORT BREAST CENTER
SHREVEPORT, LA
NPI
1972532166
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Entity Type
Organization
Authorized Contact
GREG J. GAVIN
Network Administrator
318-212-4232
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2006-07-01
Last Update Date
2012-06-08
Business Address
WK SHREVEPORT BREAST CENTER
8001 YOUREE DR SUITE 960
SHREVEPORT, LA 71115-2302
Phone number: 318-212-3706
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Mailing Address
WK SHREVEPORT BREAST CENTER
8001 YOUREE DR SUITE 960
SHREVEPORT, LA 71115-2302
Phone number: 318-212-3706
Copy
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