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1679640254
GONZALO IVAR HIDALGO
ALEXANDRIA, LA
NPI
1679640254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: LA 025214)
Enumeration Date
2006-11-29
Last Update Date
2007-07-08
Business Address
Dr. GONZALO IVAR HIDALGO M.D.
3311 PRESCOTT RD SUITE 216
ALEXANDRIA, LA 71301-3900
Phone number: 318-443-0490
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Mailing Address
Dr. GONZALO IVAR HIDALGO M.D.
3311 PRESCOTT RD SUITE 216
ALEXANDRIA, LA 71301-3900
Phone number: 318-443-0490
Copy
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