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1366442642
GASTROENTEROLOGY CLINIC, A PROFESSIONAL MEDICAL CORPORATION
MONROE, LA
NPI
1366442642
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Entity Type
Organization
Authorized Contact
ANDREW W. WALDO
Administrator
318-325-2634
Organization Subpart ?
No
Primary Taxonomy
207RG0100X Internal Medicine Gastroenterology
Enumeration Date
2005-07-28
Last Update Date
2022-07-21
Business Address
GASTROENTEROLOGY CLINIC, A PROFESSIONAL MEDICAL CORPORATION
611 GRAMMONT ST
MONROE, LA 71201-7516
Phone number: 318-325-2634
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Mailing Address
GASTROENTEROLOGY CLINIC, A PROFESSIONAL MEDICAL CORPORATION
611 GRAMMONT ST
MONROE, LA 71201-7516
Phone number: 318-325-2634
Copy
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