TY ANTHONY GAUTREAU

BATON ROUGE, LA
NPI1548438286
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP04859)
Enumeration Date2008-02-15
Last Update Date2016-06-30
Business Address
-- TY ANTHONY GAUTREAU NP
12525 PERKINS RD
BATON ROUGE, LA 70810-1907
Phone number: 225-819-8857
Mailing Address
-- TY ANTHONY GAUTREAU NP
2762 CONTINENTAL DR STE 201
BATON ROUGE, LA 70808-3240
Phone number: 225-706-3033
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