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1013985530
MATTHEW SHANE FONTENOT
LAFAYETTE, LA
NPI
1013985530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: LA 024987)
Enumeration Date
2006-03-10
Last Update Date
2009-08-04
Business Address
Dr. MATTHEW SHANE FONTENOT M.D.
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503-2621
Phone number: 337-289-7927
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Mailing Address
Dr. MATTHEW SHANE FONTENOT M.D.
PO BOX 53092
LAFAYETTE, LA 70505-3092
Phone number: 337-289-8978
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