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1033114384
PREM KUMAR MENON
BATON ROUGE, LA
NPI
1033114384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: LA 07041R)
Enumeration Date
2005-06-14
Last Update Date
2010-08-23
Business Address
Dr. PREM KUMAR MENON M. D.
5217 FLANDERS DR
BATON ROUGE, LA 70808-9169
Phone number: 225-766-6931
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Mailing Address
Dr. PREM KUMAR MENON M. D.
5217 FLANDERS DR
BATON ROUGE, LA 70808-9169
Phone number: 225-766-6931
Copy
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