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1073057048
TATE AUCOIN
THIBODAUX, LA
NPI
1073057048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-12-11
Last Update Date
2016-12-11
Business Address
-- TATE AUCOIN
2553 HIGHWAY 1
THIBODAUX, LA 70301-5844
Phone number: 985-647-2333
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Mailing Address
-- TATE AUCOIN
2553 HIGHWAY 1
THIBODAUX, LA 70301-5844
Phone number:
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