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1477632867
GLEB G BOURIANOFF
PARIS, TX
NPI
1477632867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TX D6955)
Enumeration Date
2006-11-04
Last Update Date
2007-07-08
Business Address
-- GLEB G BOURIANOFF MD
820 CLARKSVILLE ST
PARIS, TX 75460-6027
Phone number: 800-893-9698
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Mailing Address
-- GLEB G BOURIANOFF MD
200 CORPORATE BLVD SUITE 201
LAFAYETTE, LA 70508-3870
Phone number:
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