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1467447185
MAMATHA ANANTH
BOGALUSA, LA
NPI
1467447185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: LA MD11747R)
Enumeration Date
2005-09-19
Last Update Date
2019-10-25
Business Address
MAMATHA ANANTH MD
433 PLAZA ST STE 1A
BOGALUSA, LA 70427-3729
Phone number: 985-730-6970
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Mailing Address
MAMATHA ANANTH MD
433 PLAZA ST
BOGALUSA, LA 70427-3729
Phone number: 985-730-6970
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