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1891790192
LAWRENCE G WAYBURN
SANTA FE, NM
NPI
1891790192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: NM MD2007-0243)
Enumeration Date
2005-06-15
Last Update Date
2016-06-10
Business Address
LAWRENCE G WAYBURN M.D.
2 BIG BEAR PL
SANTA FE, NM 87508
Phone number: 989-928-2397
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Mailing Address
LAWRENCE G WAYBURN M.D.
2 BIG BEAR PL
SANTA FE, NM 87508
Phone number: 989-928-2397
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