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1720027592
GREGORY PHILLIP WELLMAN
SHREVEPORT, LA
NPI
1720027592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: LA 025739)
Enumeration Date
2006-06-06
Last Update Date
2012-04-11
Business Address
-- GREGORY PHILLIP WELLMAN m.d.
2915 MISSOURI AVE
SHREVEPORT, LA 71109-4327
Phone number: 318-621-8820
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Mailing Address
-- GREGORY PHILLIP WELLMAN m.d.
PO BOX 731280
DALLAS, TX 75373-1280
Phone number:
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