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1154977197
EUGENE M FONTENOT MD LLC
LAKE CHARLES, LA
NPI
1154977197
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Entity Type
Organization
Authorized Contact
EUGENE FONTENOT
Owner
337-474-2056
Organization Subpart ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
Enumeration Date
2019-08-15
Last Update Date
2019-10-09
Business Address
EUGENE M FONTENOT MD LLC
4150 NELSON RD BUILDING A SUITE 1
LAKE CHARLES, LA 70605
Phone number: 337-474-2056
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Mailing Address
EUGENE M FONTENOT MD LLC
4150 NELSON RD STE A1
LAKE CHARLES, LA 70605-4169
Phone number: 337-474-2056
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