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1306846902
DONALD EDMOND MICKAL
LAFAYETTE, LA
NPI
1306846902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: LA 011180)
Enumeration Date
2005-07-26
Last Update Date
2024-11-24
Business Address
-- DONALD EDMOND MICKAL MD
4640 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6902
Phone number: 337-984-1050
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Mailing Address
-- DONALD EDMOND MICKAL MD
4640 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6902
Phone number: 337-984-1050
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