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1255404521
SUSAN BOURGEOIS IEYOUB
LAKE CHARLES, LA
NPI
1255404521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: LA L10821R)
Enumeration Date
2006-11-16
Last Update Date
2022-04-27
Business Address
Dr. SUSAN BOURGEOIS IEYOUB MD
4345 NELSON RD STE 201
LAKE CHARLES, LA 70605-4183
Phone number: 337-494-6800
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Mailing Address
Dr. SUSAN BOURGEOIS IEYOUB MD
PO BOX 122205 DEPT 2205
DALLAS, TX 75312-0001
Phone number: 337-494-2921
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