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Organization
GENTRY HAUGHTON, LLC
Active
Organization
GENTRY HAUGHTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENTRY LEE HAUGHTON (DPM)
(318) 519-7555
Entity
Organization
Contact information
Practice address
1505 E BERT KOUN LOOP, SUITE 101, SHREVEPORT, LA 71105-5723
(318) 519-7555
Mailing address
PO BOX 5237, SHREVEPORT, LA 71135-5237
(318) 798-4539
(318) 798-4601
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM.200048
LA
Other
Enumeration date
06/23/2014
Last updated
11/07/2019
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