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1316147119
KEVIN DALE CHIASSON
COVINGTON, LA
NPI
1316147119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: LA MD.018159)
Enumeration Date
2007-07-19
Last Update Date
2007-07-19
Business Address
-- KEVIN DALE CHIASSON MD
17438 HARD HAT DR
COVINGTON, LA 70435-5630
Phone number: 985-249-5600
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Mailing Address
-- KEVIN DALE CHIASSON MD
626 LA HWY 304
THIBODEAUX, LA 70301
Phone number:
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