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1225454556
GARY VAN DEWITT
ALEXANDRIA, LA
NPI
1225454556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: LA 3271)
Enumeration Date
2014-03-11
Last Update Date
2014-03-11
Business Address
Dr. GARY VAN DEWITT
1400 PETERMAN DR
ALEXANDRIA, LA 71301-3432
Phone number: 318-443-0505
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Mailing Address
Dr. GARY VAN DEWITT
1400 PETERMAN DR
ALEXANDRIA, LA 71301-3432
Phone number: 318-443-0505
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