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1649833583
KEN L GREMILLION
MONROE, LA
NPI
1649833583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 204586)
Enumeration Date
2019-04-16
Last Update Date
2023-12-29
Business Address
KEN L GREMILLION NP
3100 FORSYTHE AVE
MONROE, LA 71201-3014
Phone number: 318-966-6800
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Mailing Address
KEN L GREMILLION NP
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 318-966-6800
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