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1447276324
DERREL DEWAYNE GRAHAM
SHREVEPORT, LA
NPI
1447276324
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: LA 021596)
Enumeration Date
2006-07-14
Last Update Date
2009-07-29
Business Address
-- DERREL DEWAYNE GRAHAM M.D.
1501 KINGS HWY DEPARTMENT OF EMERGENCY MEDICINE
SHREVEPORT, LA 71103-4228
Phone number: 318-675-6880
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Mailing Address
-- DERREL DEWAYNE GRAHAM M.D.
1501 KINGS HWY DEPARTMENT OF EMERGENCY MEDICINE
SHREVEPORT, LA 71103-4228
Phone number: 318-675-6880
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