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1114269990
LAURIE DASTE
JEFFERSON, LA
NPI
1114269990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: LA MD.207436)
Enumeration Date
2013-03-20
Last Update Date
2018-05-24
Business Address
LAURIE DASTE
1514 JEFFERSON HWY
JEFFERSON, LA 70121
Phone number: 504-268-3673
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Mailing Address
LAURIE DASTE
PO BOX 919211
DALLAS, TX 75391-9211
Phone number: 866-214-8600
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