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Individual

MR. GEORGE WAYNE BYRAM JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1 MEDICAL PLAZA PL, MINDEN, LA 71055-3330
(318) 377-2321
Mailing address
111 BUCKHAVEN TRL, MINDEN, LA 71055-7579
(318) 377-8820

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN047642 - AP02081
LA

Other

Enumeration date
09/25/2006
Last updated
07/08/2007
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