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1275538993
EUGENE FONTENOT
LAKE CHARLES, LA
NPI
1275538993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: LA 014734)
Enumeration Date
2005-06-17
Last Update Date
2007-08-14
Business Address
-- EUGENE FONTENOT M.D.12
4150 NELSON RD
LAKE CHARLES, LA 70605-4148
Phone number: 337-474-2056
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Mailing Address
-- EUGENE FONTENOT M.D.12
PO BOX 4290
LAKE CHARLES, LA 70606-4290
Phone number: 337-474-2056
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