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1245304187
TAHISA PATRIC COLBERT
LAFAYETTE, LA
NPI
1245304187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: LA 5321)
Enumeration Date
2006-11-20
Last Update Date
2007-07-09
Business Address
Dr. TAHISA PATRIC COLBERT D.D.S.
1006 SURREY ST
LAFAYETTE, LA 70501-6143
Phone number: 337-234-0411
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Mailing Address
Dr. TAHISA PATRIC COLBERT D.D.S.
113 DERBY LN
LAFAYETTE, LA 70508-5977
Phone number:
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