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1073045605
KIRA RACINE GROVES
LAKE CHARLES, LA
NPI
1073045605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 324736)
Enumeration Date
2017-04-02
Last Update Date
2022-04-27
Business Address
KIRA RACINE GROVES DO
2750 ASTER ST
LAKE CHARLES, LA 70601-8824
Phone number: 337-480-8900
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Mailing Address
KIRA RACINE GROVES DO
PO BOX 122539 DEPT 2539
DALLAS, TX 75312-0001
Phone number: 337-494-2921
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