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1528094455
BRENTON WAYNE MCDONALD
MONROE, LA
NPI
1528094455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: LA 12051R)
Enumeration Date
2006-06-23
Last Update Date
2014-12-11
Business Address
-- BRENTON WAYNE MCDONALD M.D.
2807 EVANGELINE ST
MONROE, LA 71201-3749
Phone number: 318-737-2269
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Mailing Address
-- BRENTON WAYNE MCDONALD M.D.
2807 EVANGELINE ST
MONROE, LA 71201-3749
Phone number: 318-737-2269
Copy
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