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1104963800
FREDERICK ERWIN HACKLEY
BATON ROUGE, LA
NPI
1104963800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA MD.05798R)
Enumeration Date
2007-01-31
Last Update Date
2013-05-31
Business Address
Dr. FREDERICK ERWIN HACKLEY M.D.
8535 MYRTLELAKE DR
BATON ROUGE, LA 70810-6631
Phone number: 225-810-6320
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Mailing Address
Dr. FREDERICK ERWIN HACKLEY M.D.
8535 MYRTLELAKE DR
BATON ROUGE, LA 70810-6631
Phone number: 225-810-6320
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