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1306916002
FOSTER CLINT KORDISCH
LAFAYETTE, LA
NPI
1306916002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: LA 24286)
Enumeration Date
2006-11-09
Last Update Date
2012-11-28
Business Address
Dr. FOSTER CLINT KORDISCH MD
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503-2621
Phone number: 337-289-7183
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Mailing Address
Dr. FOSTER CLINT KORDISCH MD
142 ACACIA DR
LAFAYETTE, LA 70508-4002
Phone number: 337-264-1303
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