GRAHAM WAYNE RACHAL

SHREVEPORT, LA
NPI1225456304
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP07641)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: ID  63614)
Enumeration Date2014-04-04
Last Update Date2023-02-06
Business Address
GRAHAM WAYNE RACHAL FNP
1455 E BERT KOUNS INDUSTRIAL LOOP STE 300
SHREVEPORT, LA 71105-5634
Phone number: 318-798-4488
Mailing Address
GRAHAM WAYNE RACHAL FNP
1455 E BERT KOUNS INDUSTRIAL LOOP STE 300
SHREVEPORT, LA 71105-6000
Phone number: 318-798-4488
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