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1255474466
MYRA LOUISE ANDERSON
LULING, LA
NPI
1255474466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: LA MD.06513R)
Enumeration Date
2007-02-15
Last Update Date
2007-07-09
Business Address
Miss MYRA LOUISE ANDERSON M.D.
879 MILLING AVE
LULING, LA 70070-4442
Phone number: 985-785-2979
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Mailing Address
Miss MYRA LOUISE ANDERSON M.D.
40189 PELICAN POINT PKWY.
GONZALES, LA 70737-8501
Phone number: 504-491-3124
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