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1205829199
ZACK THERRELL BUCKALEW
ALEXANDRIA, LA
NPI
1205829199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: LA 012656)
Enumeration Date
2005-08-25
Last Update Date
2020-09-28
Business Address
ZACK THERRELL BUCKALEW M.D.
176 VERSAILLES BLVD
ALEXANDRIA, LA 71303-2493
Phone number: 318-445-9331
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Mailing Address
ZACK THERRELL BUCKALEW M.D.
PO BOX 13030
ALEXANDRIA, LA 71315-3030
Phone number: 318-445-9331
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