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1629244132
DEREGAL FAY BURBANK
GRETNA, LA
NPI
1629244132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: LA 016402)
Enumeration Date
2008-05-05
Last Update Date
2009-07-31
Business Address
Dr. DEREGAL FAY BURBANK MD
120 MEADOWCREST ST. SUITE 245
GRETNA, LA 70056
Phone number: 504-391-7690
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Mailing Address
Dr. DEREGAL FAY BURBANK MD
55 YELLOWSTONE DR
NEW ORLEANS, LA 70131
Phone number: 225-270-8370
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