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1396196275
JADE FONTENOT
CROWLEY, LA
NPI
1396196275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 6673)
Enumeration Date
2016-06-22
Last Update Date
2018-07-11
Business Address
Dr. JADE FONTENOT DDS
725 N AVENUE K
CROWLEY, LA 70526
Phone number: 337-783-2455
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Mailing Address
Dr. JADE FONTENOT DDS
725 N AVENUE K
CROWLEY, LA 70526-3848
Phone number: 337-783-2455
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