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1548245814
SCOTT F DIEDRICH
HOUMA, LA
NPI
1548245814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: LA A10602)
Enumeration Date
2005-12-09
Last Update Date
2008-02-14
Business Address
-- SCOTT F DIEDRICH PA
1990 INDUSTRIAL BOULEVARD
HOUMA, LA 70363-7055
Phone number: 985-868-9300
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Mailing Address
-- SCOTT F DIEDRICH PA
1990 INDUSTRIAL BOULEVARD
HOUMA, LA 71363-4176
Phone number: 985-868-9300
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