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1538133988
RICHARD SUPPLE LABORDE
LAKE CHARLES, LA
NPI
1538133988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: LA 21104)
Enumeration Date
2006-02-14
Last Update Date
2016-10-12
Business Address
-- RICHARD SUPPLE LABORDE MD
424 W MCNEESE ST
LAKE CHARLES, LA 70605-5547
Phone number: 337-478-0511
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Mailing Address
-- RICHARD SUPPLE LABORDE MD
424 W MCNEESE ST
LAKE CHARLES, LA 70605-5547
Phone number: 337-478-0511
Copy
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