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1689644585
TERRY B GARDNER
RUSTON, LA
NPI
1689644585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 21593)
Enumeration Date
2006-01-24
Last Update Date
2009-10-15
Business Address
Mr. TERRY B GARDNER M.D.
1200 S FARMERVILLE ST
RUSTON, LA 71270-5941
Phone number: 318-255-3690
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Mailing Address
Mr. TERRY B GARDNER M.D.
1200 S FARMERVILLE ST
RUSTON, LA 71270-5941
Phone number: 318-255-3690
Copy
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