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1336129444
DANETTE B NULL
LAKE CHARLES, LA
NPI
1336129444
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Former Name
PATTY DANETTE BURNETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA MD.201839)
Enumeration Date
2006-01-17
Last Update Date
2022-04-28
Business Address
Dr. DANETTE B NULL M.D.
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601-8849
Phone number: 337-494-6767
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Mailing Address
Dr. DANETTE B NULL M.D.
PO BOX 123453 DEPT 3453
DALLAS, TX 75312-0001
Phone number: 337-494-2921
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