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1992849244
KENNETH LANE GARY
SULPHUR, LA
NPI
1992849244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA RN094922-AP04928)
Enumeration Date
2007-02-19
Last Update Date
2015-03-09
Business Address
Mr. KENNETH LANE GARY N.P.
701 CYPRESS ST
SULPHUR, LA 70663-5053
Phone number: 337-527-4270
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Mailing Address
Mr. KENNETH LANE GARY N.P.
4521 OAK RIDGE DR
SULPHUR, LA 70665-9379
Phone number: 337-526-2777
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