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1053679530
MATTHEW EARLES DAUTERIVE
NEW IBERIA, LA
NPI
1053679530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: LA 308116)
Enumeration Date
2012-05-02
Last Update Date
2023-07-17
Business Address
Mr. MATTHEW EARLES DAUTERIVE
2309 E MAIN ST STE 500
NEW IBERIA, LA 70560-4046
Phone number: 337-374-7315
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Mailing Address
Mr. MATTHEW EARLES DAUTERIVE
155 HOSPITAL DR STE 101
LAFAYETTE, LA 70503-2852
Phone number: 252-744-5258
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