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1669473054
ALLEN W. VANDER
THIBODAUX, LA
NPI
1669473054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: LA 24441)
Enumeration Date
2005-08-09
Last Update Date
2009-09-25
Business Address
Mr. ALLEN W. VANDER M.D.
604 N. ACADIA RD SUITE 405
THIBODAUX, LA 70301
Phone number: 985-446-0871
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Mailing Address
Mr. ALLEN W. VANDER M.D.
604 N. ACADIA RD. SUITE 405
THIBODAUX, LA 70301
Phone number: 985-446-0871
Copy
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