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1043297229
RUSSELL A GUIDRY
LAKE CHARLES, LA
NPI
1043297229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: LA 62102)
Enumeration Date
2005-12-28
Last Update Date
2016-10-12
Business Address
-- RUSSELL A GUIDRY CRNA
424 W MCNEESE ST
LAKE CHARLES, LA 70605-5547
Phone number: 337-478-0511
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Mailing Address
-- RUSSELL A GUIDRY CRNA
424 W MCNEESE ST
LAKE CHARLES, LA 70605-5547
Phone number: 337-478-0511
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