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1164429171
TOMMY LESTER FUDGE
THIBODAUX, LA
NPI
1164429171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: LA 03512R)
Enumeration Date
2005-07-05
Last Update Date
2018-07-05
Business Address
TOMMY LESTER FUDGE MD
604 N ACADIA RD SUITE 409
THIBODAUX, LA 70301
Phone number: 985-449-4670
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Mailing Address
TOMMY LESTER FUDGE MD
PO BOX 5478
THIBODAUX, LA 70302-5478
Phone number: 985-449-4670
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