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1245666254
EMILY RENEE THIBODAUX
LAFAYETTE, LA
NPI
1245666254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: 200652)
Enumeration Date
2013-09-23
Last Update Date
2013-09-23
Business Address
Miss EMILY RENEE THIBODAUX P.A.-C
1103 KALISTE SALOOM RD SUITE 206
LAFAYETTE, LA 70508-5783
Phone number: 337-267-1319
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Mailing Address
Miss EMILY RENEE THIBODAUX P.A.-C
1018 HIGHWAY 304
THIBODAUX, LA 70301-7331
Phone number: 985-414-0724
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