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1679769889
JOHNATHAN C BAINES
RUSTON, LA
NPI
1679769889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA MD.203777)
Enumeration Date
2007-09-20
Last Update Date
2010-06-03
Business Address
Dr. JOHNATHAN C BAINES MD
1200 S FARMERVILLE ST
RUSTON, LA 71270-5941
Phone number: 318-255-3690
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Mailing Address
Dr. JOHNATHAN C BAINES MD
1200 S FARMERVILLE ST
RUSTON, LA 71270-5941
Phone number: 318-255-3690
Copy
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