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1023163599
LISA CHURCHMAN BAILEY
GONZALES, LA
NPI
1023163599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 4685)
Enumeration Date
2007-01-24
Last Update Date
2007-07-09
Business Address
Dr. LISA CHURCHMAN BAILEY DDS
225 W ASCENSION ST
GONZALES, LA 70737-2803
Phone number: 225-644-4976
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Mailing Address
Dr. LISA CHURCHMAN BAILEY DDS
225 W ASCENSION ST
GONZALES, LA 70737-2803
Phone number: 225-644-4976
Copy
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