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1225058134
THAO PHUONG DOLA
HAMMOND, LA
NPI
1225058134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: LA 022120)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
DR. THAO PHUONG DOLA M.D.
1135 SOUTH MORRISON BLVD
HAMMOND, LA 70403
Phone number: 985-340-7816
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Mailing Address
DR. THAO PHUONG DOLA M.D.
18044 OLD COVINGTON HWY APT 309
HAMMOND, LA 70403-0659
Phone number: 504-512-1753
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