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1700826500
MARTIN JOSEPH DEGRAVELLE
NEW IBERIA, LA
NPI
1700826500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: LA MD011998)
Enumeration Date
2006-06-08
Last Update Date
2007-07-08
Business Address
-- MARTIN JOSEPH DEGRAVELLE M.D.
2308 E MAIN ST
NEW IBERIA, LA 70560-4032
Phone number: 337-560-5005
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Mailing Address
-- MARTIN JOSEPH DEGRAVELLE M.D.
2308 E MAIN ST
NEW IBERIA, LA 70560-4032
Phone number: 337-560-5005
Copy
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