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1659695674
RONNIE SELF
HOUMA, LA
NPI
1659695674
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0101X Pathology, Anatomic Pathology
(Licence: LA MD.205335)
Enumeration Date
2010-03-19
Last Update Date
2016-02-16
Business Address
Mr. RONNIE SELF
1990 INDUSTRIAL BLVD
HOUMA, LA 70363-7055
Phone number: 985-868-9300
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Mailing Address
Mr. RONNIE SELF
1990 INDUSTRIAL BLVD
HOUMA, LA 70363-7055
Phone number: 985-868-9300
Copy
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