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1558501452
TIMOTHY JOHN QUEBEDEAUX
BATON ROUGE, LA
NPI
1558501452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 200195)
Enumeration Date
2009-03-05
Last Update Date
2009-05-04
Business Address
-- TIMOTHY JOHN QUEBEDEAUX PA
7777 HENNESSY BLVD
BATON ROUGE, LA 70808-4300
Phone number: 225-765-1763
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Mailing Address
-- TIMOTHY JOHN QUEBEDEAUX PA
DEPT AT952639
ATLANTA, GA 31192-2639
Phone number: 888-447-2450
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