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Individual

DR. JENNIFER K. BUNDRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5053
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 813-2439
(318) 813-2447

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/28/2011
Last updated
02/04/2015
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