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1225670961
RAJENDRAN AMBIAVAGAR
ALEXANDRIA, LA
NPI
1225670961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: LA MD.05464R)
Enumeration Date
2019-10-15
Last Update Date
2019-10-15
Business Address
RAJENDRAN AMBIAVAGAR MD
4209 WAKEFIELD BLVD
ALEXANDRIA, LA 71303-2958
Phone number: 318-487-0990
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Mailing Address
RAJENDRAN AMBIAVAGAR MD
4209 WAKEFIELD BLVD
ALEXANDRIA, LA 71303-2958
Phone number: 318-487-0990
Copy
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