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1376734210
RUSSELL J WARDLAW
HAMMOND, LA
NPI
1376734210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: LA 026005)
Enumeration Date
2007-08-06
Last Update Date
2013-04-23
Business Address
RUSSELL J WARDLAW MD
16061 DOCTORS BLVD SUITE B
HAMMOND, LA 70403-1499
Phone number: 985-542-1334
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Mailing Address
RUSSELL J WARDLAW MD
16061 DOCTORS BLVD SUITE B
HAMMOND, LA 70403-1499
Phone number: 985-542-1334
Copy
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