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1992023998
WK RED RIVER INTERNAL MEDICINE
BOSSIER CITY, LA
NPI
1992023998
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Entity Type
Organization
Authorized Contact
GREG J. GAVIN
Network Administrator
318-212-4132
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2010-05-14
Last Update Date
2012-06-11
Business Address
WK RED RIVER INTERNAL MEDICINE
2300 HOSPITAL DR SUITE 320
BOSSIER CITY, LA 71111-2394
Phone number: 318-212-7848
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Mailing Address
WK RED RIVER INTERNAL MEDICINE
2300 HOSPITAL DR SUITE 320
BOSSIER CITY, LA 71111-2394
Phone number: 318-212-7848
Copy
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