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1215324561
BENNETT WINDHAM HAILEY
NEW ORLEANS, LA
NPI
1215324561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 308254)
Enumeration Date
2015-04-23
Last Update Date
2018-06-29
Business Address
BENNETT WINDHAM HAILEY
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Phone number: 504-842-4021
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Mailing Address
BENNETT WINDHAM HAILEY
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121-2429
Phone number: 504-842-4021
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