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1295735793
RALPH WILLARD BAUCUM
SHREVEPORT, LA
NPI
1295735793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: LA 019833)
Enumeration Date
2005-07-26
Last Update Date
2017-01-30
Business Address
Dr. RALPH WILLARD BAUCUM M.D.
1453 E BERT KOUN LOOP STE 112
SHREVEPORT, LA 71105-6800
Phone number: 318-222-3695
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Mailing Address
Dr. RALPH WILLARD BAUCUM M.D.
PO BOX 51008
SHREVEPORT, LA 71135-1008
Phone number: 318-798-9400
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