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Individual

SHAUNDA KATRISE GRISBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1448 S COLLEGE RD, LAFAYETTE, LA 70503-2920
(337) 571-1300
(337) 571-1301
Mailing address
1448 S COLLEGE RD, LAFAYETTE, LA 70503-2920
(337) 571-1300
(337) 571-1301

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
307013
LA

Other

Enumeration date
05/12/2010
Last updated
07/20/2020
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