NPILastNameFirstNameMidNameOrganizationMailing AddressCityStateZip
1467483636   G BRENT WHITTON MD AND WILLIS-KNIGHTON MEDICAL CENTER1202 LOUISIANA AVESHREVEPORTLA711013910
1003116682BONTSKIMBERLYJ 1202 LOUISIANA AVESHREVEPORTLA711013910
1003809211PENALESLEABONIFACIO 1202 LOUISIANA AVESHREVEPORTLA711013910
1285666487WHITTONGERALDBRENT PO BOX 3038SHREVEPORTLA711333038

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