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1053656843
KATIE LEIGH MEDINE
PRAIRIEVILLE, LA
NPI
1053656843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 6279)
Enumeration Date
2012-12-05
Last Update Date
2012-12-05
Business Address
Dr. KATIE LEIGH MEDINE D.D.S.
38384 HIGHWAY 42
PRAIRIEVILLE, LA 70769-4011
Phone number: 225-673-9535
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Mailing Address
Dr. KATIE LEIGH MEDINE D.D.S.
38384 HIGHWAY 42
PRAIRIEVILLE, LA 70769-4011
Phone number: 225-673-9535
Copy
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