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1609091719
AVERY ROBERT BORAS
MANDEVILLE, LA
NPI
1609091719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: LA 964)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
-- AVERY ROBERT BORAS MD
23515 HWY 190
MANDEVILLE, LA 70470
Phone number: 985-626-6300
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Mailing Address
-- AVERY ROBERT BORAS MD
PO BOX 3850 23515 HWY 190
MANDEVILLE, LA 70470-3850
Phone number: 985-626-6300
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