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1659300143
MARY BETH GAUDIN
HAMMOND, LA
NPI
1659300143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: LA AP03655)
Enumeration Date
2006-06-30
Last Update Date
2023-03-07
Business Address
-- MARY BETH GAUDIN CANP
42388 PELICAN PROFESSIONAL PARK
HAMMOND, LA 70403
Phone number: 985-542-6251
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Mailing Address
-- MARY BETH GAUDIN CANP
167 SOUTH GATE
PONCHATOULA, LA 70454
Phone number: 985-542-6251
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