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Organization

SHREVEPORT DIABETIC SHOES,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DENNIS S BOND (DELEGATED OFFICIAL)
(318) 687-7317
Entity
Organization

Contact information

Practice address
8837 KINGSTON RD, SHREVEPORT, LA 71118-2207
(318) 687-7317
(318) 687-0916
Mailing address
8837 KINGSTON RD, SHREVEPORT, LA 71118-2207
(318) 687-7317
(318) 687-0916

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
10/24/2008
Last updated
02/12/2009
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