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1013986892
STACEY WAYNE MAYEAUX
OPELOUSAS, LA
NPI
1013986892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 24994)
Enumeration Date
2006-03-15
Last Update Date
2016-04-29
Business Address
Dr. STACEY WAYNE MAYEAUX MD
519 E PRUDHOMME ST
OPELOUSAS, LA 70570-6499
Phone number: 337-678-3755
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Mailing Address
Dr. STACEY WAYNE MAYEAUX MD
PO BOX 8
OPELOUSAS, LA 70571-0008
Phone number: 337-678-3755
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