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1194017889
ETHEL STACKHOUSE SMITH
LAFAYETTE, LA
NPI
1194017889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: LA LA9038)
Enumeration Date
2011-05-12
Last Update Date
2011-05-12
Business Address
-- ETHEL STACKHOUSE SMITH M.D.
125 KAROLWOOD DR
LAFAYETTE, LA 70503
Phone number: 337-984-1924
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Mailing Address
-- ETHEL STACKHOUSE SMITH M.D.
125 KAROLWOOD DR
LAFAYETTE, LA 70503
Phone number: 337-984-1924
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