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1992731301
WILLIS KNIGHTON MEDICAL CENTER & M R MANCHANDIA
BOSSIER CITY, LA
NPI
1992731301
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Entity Type
Organization
Authorized Contact
GREG J GAVIN
Network Administrator
318-747-5272
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2006-06-25
Last Update Date
2012-06-12
Business Address
WILLIS KNIGHTON MEDICAL CENTER & M R MANCHANDIA
2706 SHED RD
BOSSIER CITY, LA 71111-3348
Phone number: 318-747-5272
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Mailing Address
WILLIS KNIGHTON MEDICAL CENTER & M R MANCHANDIA
2706 SHED RD
BOSSIER CITY, LA 71111-3348
Phone number: 318-747-5272
Copy
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