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1205950771
MYRA CLAVIER WISE
LAKE CHARLES, LA
NPI
1205950771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: LA 018805)
Enumeration Date
2007-03-19
Last Update Date
2016-10-13
Business Address
-- MYRA CLAVIER WISE MD
424 W MCNEESE ST
LAKE CHARLES, LA 70605-5547
Phone number: 337-478-0511
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Mailing Address
-- MYRA CLAVIER WISE MD
424 W MCNEESE ST
LAKE CHARLES, LA 70605-5547
Phone number: 337-478-0511
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