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1548601016
MATHERNE DERMATOLOGY, LLC
THIBODAUX, LA
NPI
1548601016
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Entity Type
Organization
Authorized Contact
MICHELE DECKER MATHERNE
Manager
504-975-9577
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: LA MD202680)
Enumeration Date
2013-07-12
Last Update Date
2018-04-19
Business Address
MATHERNE DERMATOLOGY, LLC
2100 AUDUBON AVE
THIBODAUX, LA 70301-5014
Phone number: 985-446-5888
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Mailing Address
MATHERNE DERMATOLOGY, LLC
2100 AUDUBON AVE
THIBODAUX, LA 70301
Phone number: 985-446-5888
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