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1174889794
JUSTIN WILLIAM RUDD
LAKE CHARLES, LA
NPI
1174889794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: LA 309562)
Enumeration Date
2012-04-09
Last Update Date
2018-07-17
Business Address
JUSTIN WILLIAM RUDD M.D.
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601
Phone number: 337-312-8762
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Mailing Address
JUSTIN WILLIAM RUDD M.D.
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601-5724
Phone number: 337-312-8762
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