ProviderBusinessMailingAddressFaxNumber = '3182123745'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1891009437
WK NORTHWEST INTERNAL MEDICINE
8001 YOUREE DR
SHREVEPORT
LA
711152302
1669682902
NELSON
LILLIAN
8001 YOUREE DR
SHREVEPORT
LA
711152302
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