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1457769234
SAM OBGARTEL
LULING, LA
NPI
1457769234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA AP07934)
Enumeration Date
2014-07-24
Last Update Date
2017-02-20
Business Address
-- SAM OBGARTEL
843 MILLING AVE
LULING, LA 70070-4442
Phone number: 504-575-3712
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Mailing Address
-- SAM OBGARTEL
2900 INDIANA AVE
KENNER, LA 70065-4605
Phone number: 504-575-3712
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