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1447382924
SOUTHWEST REGIONAL BREAST CENTER, INC
LAFAYETTE, LA
NPI
1447382924
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Entity Type
Organization
Authorized Contact
JOHN A BOLIN
General Surgeon
337-989-8770
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: LA 010571)
Enumeration Date
2007-03-11
Last Update Date
2020-08-22
Business Address
SOUTHWEST REGIONAL BREAST CENTER, INC
4630 AMBASSADOR CAFFERY PKWY STE 406
LAFAYETTE, LA 70508-6949
Phone number: 337-989-8770
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Mailing Address
SOUTHWEST REGIONAL BREAST CENTER, INC
4630 AMBASSADOR CAFFERY PKWY STE 406
LAFAYETTE, LA 70508-6949
Phone number: 337-989-8770
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