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1477528602
JASON BOOTH MADATIC
SLIDELL, LA
NPI
1477528602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: LA 024943)
Enumeration Date
2006-02-21
Last Update Date
2014-08-06
Business Address
-- JASON BOOTH MADATIC M.D.
1001 GAUSE BLVD
SLIDELL, LA 70458-2939
Phone number: 985-649-8542
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Mailing Address
-- JASON BOOTH MADATIC M.D.
12313 PARKRIDGE AVE
BATON ROUGE, LA 70816-4726
Phone number: 504-621-7689
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