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1518065978
WALLACE JEANFREAU
METAIRIE, LA
NPI
1518065978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: LA 015285)
Enumeration Date
2006-09-20
Last Update Date
2020-01-31
Business Address
Dr. WALLACE JEANFREAU M.D.
3530 HOUMA BLVD
METAIRIE, LA 70006-4202
Phone number: 504-264-5142
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Mailing Address
Dr. WALLACE JEANFREAU M.D.
3800 HOUMA BLVD SUITE 335
METAIRIE, LA 70006-4182
Phone number: 504-779-5859
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