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1043292600
KEVIN RENEE HARGRAVE
LAFAYETTE, LA
NPI
1043292600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: LA 13877R)
Enumeration Date
2005-11-18
Last Update Date
2018-01-08
Business Address
KEVIN RENEE HARGRAVE M.D.
136 HOSPITAL DR. STE 100
LAFAYETTE, LA 70503
Phone number: 337-289-8282
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Mailing Address
KEVIN RENEE HARGRAVE M.D.
136 HOSPITAL DR. STE 100
LAFAYETTE, LA 70503
Phone number: 337-235-4554
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