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1225697030
HARLEY JACOB DAVIS
MANDEVILLE, LA
NPI
1225697030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: LA 336037)
Enumeration Date
2019-06-06
Last Update Date
2023-06-28
Business Address
HARLEY JACOB DAVIS MD
4060 LONESOME RD
MANDEVILLE, LA 70448-7085
Phone number: 985-727-7701
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Mailing Address
HARLEY JACOB DAVIS MD
4060 LONESOME RD
MANDEVILLE, LA 70448-7085
Phone number: 985-727-7701
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