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1023035540
RICHARD VAN VINES
MONROE, LA
NPI
1023035540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: LA 017884)
Enumeration Date
2006-07-17
Last Update Date
2007-07-08
Business Address
-- RICHARD VAN VINES MD
920 OLIVER ROAD SUITE A
MONROE, LA 71201
Phone number: 318-329-9202
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Mailing Address
-- RICHARD VAN VINES MD
920 OLIVER ROAD SUITE A
MONROE, LA 71201
Phone number: 318-329-9202
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