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Organization
DESOTO REGIONAL FAMILY MEDICINE
Active
Organization
DESOTO REGIONAL FAMILY MEDICINE
Active
Other names
DeSoto Regional Family Medicine - Mansfield
Organization subpart
No
Provider details
NPI number
Authorized official
HALLIE DEUTSCH (CREDENTIALING SPECIALIST)
(318) 871-3101
Entity
Organization
Contact information
Practice address
130 JEFFERSON ST, MANSFIELD, LA 71052-2602
(318) 872-2700
(318) 872-6214
Mailing address
130 JEFFERSON ST, MANSFIELD, LA 71052-2602
(318) 872-2700
(318) 872-6214
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
LA
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/06/2007
Last updated
03/27/2023
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