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1225156151
WILLIAM FREDERICK KORTUM
LAFAYETTE, LA
NPI
1225156151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: LA 027100)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
Dr. WILLIAM FREDERICK KORTUM md
3414 MOSS ST STE A
LAFAYETTE, LA 70507-6107
Phone number: 337-235-1212
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Mailing Address
Dr. WILLIAM FREDERICK KORTUM md
3414 MOSS ST STE A
LAFAYETTE, LA 70507-6107
Phone number: 337-235-1212
Copy
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