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1992375844
WK ACADEMIC MEDICINE CLINIC
SHREVEPORT, LA
NPI
1992375844
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Entity Type
Organization
Authorized Contact
MATHEW WHEELER
Revenue Contract Manager
318-716-4939
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2021-07-01
Last Update Date
2022-02-28
Business Address
WK ACADEMIC MEDICINE CLINIC
2751 ALBERT L BICKNELL DR STE 2D
SHREVEPORT, LA 71103-3939
Phone number: 318-212-4232
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Mailing Address
WK ACADEMIC MEDICINE CLINIC
2751 ALBERT L BICKNELL DR STE 2D
SHREVEPORT, LA 71103-3939
Phone number: 318-212-4232
Copy
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