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1073092128
COLBY TERRY
COVINGTON, LA
NPI
1073092128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 6911)
Enumeration Date
2018-08-09
Last Update Date
2018-08-09
Business Address
COLBY TERRY
600 N HIGHWAY 190 STE 4
COVINGTON, LA 70433-5083
Phone number: 985-893-5522
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Mailing Address
COLBY TERRY
600 N HIGHWAY 190
COVINGTON, LA 70433-5003
Phone number:
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