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1609303700
EDWIN FREDRICK TRAUTH
GONZALES, LA
NPI
1609303700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: LA 6754)
Enumeration Date
2017-05-19
Last Update Date
2017-05-19
Business Address
EDWIN FREDRICK TRAUTH DDS
40470 GERMANY RD
GONZALES, LA 70737-6735
Phone number: 225-622-2022
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Mailing Address
EDWIN FREDRICK TRAUTH DDS
122 SAM ST
BOUTTE, LA 70039-3528
Phone number:
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