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1417272253
MARK CHARLES SHOPTAUGH
BATON ROUGE, LA
NPI
1417272253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: LA 205916)
Enumeration Date
2010-04-05
Last Update Date
2014-06-30
Business Address
-- MARK CHARLES SHOPTAUGH
5131 ODONOVAN DR SUITE 300
BATON ROUGE, LA 70808-4782
Phone number: 225-374-0400
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Mailing Address
-- MARK CHARLES SHOPTAUGH
5131 ODONOVAN DR SUITE 300
BATON ROUGE, LA 70808-4782
Phone number: 225-374-0400
Copy
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