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1396784302
JIM WADE PRICE
METAIRIE, LA
NPI
1396784302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: LA 07540R)
Enumeration Date
2006-06-05
Last Update Date
2007-07-08
Business Address
-- JIM WADE PRICE MD
3510 N CAUSEWAY BLVD
METAIRIE, LA 70002-3531
Phone number: 504-779-5515
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Mailing Address
-- JIM WADE PRICE MD
744 W MICHIGAN AVE
JACKSON, MI 49201-1909
Phone number: 800-242-1131
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