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1902806185
WAYNE DAVID GRAVOIS
BATON ROUGE, LA
NPI
1902806185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 016200)
Enumeration Date
2005-07-28
Last Update Date
2019-10-03
Business Address
WAYNE DAVID GRAVOIS MD
3401 NORTH BLVD STE 200
BATON ROUGE, LA 70806-3743
Phone number: 225-381-6620
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Mailing Address
WAYNE DAVID GRAVOIS MD
3401 NORTH BLVD STE 200
BATON ROUGE, LA 70806-3743
Phone number: 225-381-6620
Copy
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