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1396272480
ADAM BERTHELOT
COVINGTON, LA
NPI
1396272480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 6741)
Enumeration Date
2017-05-19
Last Update Date
2017-05-19
Business Address
ADAM BERTHELOT
842 COLLINS BLVD
COVINGTON, LA 70433-2759
Phone number: 985-809-1889
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Mailing Address
ADAM BERTHELOT
6005 CHATEAU LOIRE CIR
MANDEVILLE, LA 70448-7055
Phone number:
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