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1093714859
CLINTON LAVURN THOMAS
SLIDELL, LA
NPI
1093714859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: LA 06426R)
Enumeration Date
2005-07-14
Last Update Date
2007-07-08
Business Address
Dr. CLINTON LAVURN THOMAS M.D.
405 CHRISTIAN LN
SLIDELL, LA 70458-1356
Phone number: 985-643-6579
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Mailing Address
Dr. CLINTON LAVURN THOMAS M.D.
985 ROBERT BLVD
SLIDELL, LA 70458-2063
Phone number: 985-641-8643
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