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Organization · Preferred Provider Organization · Shreveport, LA

NPI
1942417464
Type
Organization (Type 2)
Primary specialty
Preferred Provider Organization
Specialty group
Managed Care Organizations
Taxonomy code
305R00000X
Enumerated
2007-05-16
Last updated
2020-08-22
Practice location
6007 Financial Plz, Suite 5c
Shreveport, LA 71129-2655
(318) 426-0013

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