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1639122195
CALVIN DALE VIDRINE
OPELOUSAS, LA
NPI
1639122195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: LA 10041005)
Enumeration Date
2006-05-18
Last Update Date
2012-02-29
Business Address
Mr. CALVIN DALE VIDRINE CRA RJ RN
174 GRANT RD
OPELOUSAS, LA 70570-0720
Phone number: 337-594-9637
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Mailing Address
Mr. CALVIN DALE VIDRINE CRA RJ RN
PO BOX 1939
OPELOUSAS, LA 70571-1939
Phone number: 337-942-1915
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