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1235182437
WAYNE THIBODEAUX
METAIRIE, LA
NPI
1235182437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: LA 023252)
Enumeration Date
2006-05-18
Last Update Date
2007-07-08
Business Address
-- WAYNE THIBODEAUX MD
3510 N CAUSEWAY BLVD 404
METAIRIE, LA 70002-3531
Phone number: 504-779-5515
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Mailing Address
-- WAYNE THIBODEAUX MD
744 W MICHIGAN AVE
JACKSON, MI 49201-1909
Phone number: 800-242-1131
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