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1396164679
BEAU WILLIS
METAIRIE, LA
NPI
1396164679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: LA 307117)
Enumeration Date
2014-04-15
Last Update Date
2024-06-18
Business Address
BEAU WILLIS DPM
2520 HARVARD AVE FL 1
METAIRIE, LA 70001-1172
Phone number: 504-454-3004
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Mailing Address
BEAU WILLIS DPM
2520 HARVARD AVE
METAIRIE, LA 70001-1172
Phone number: 504-454-3004
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