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1255331443
GORDON B. MASSENGALE
RAYVILLE, LA
NPI
1255331443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 012197)
Enumeration Date
2005-07-28
Last Update Date
2011-11-03
Business Address
-- GORDON B. MASSENGALE M.D.
111 CHRISTIAN DR
RAYVILLE, LA 71269-3658
Phone number: 318-728-3263
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Mailing Address
-- GORDON B. MASSENGALE M.D.
PO BOX 960
RAYVILLE, LA 71269-0960
Phone number: 318-728-3263
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