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1689065880
LISA TEBAULT
NEW ORLEANS, LA
NPI
1689065880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier
Enumeration Date
2015-02-10
Last Update Date
2015-03-19
Business Address
-- LISA TEBAULT
11650 WEST BARRINGTON DR
NEW ORLEANS, LA 70128
Phone number: 504-221-9531
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Mailing Address
-- LISA TEBAULT
PO BOX 29561
NEW ORLEANS, LA 70189-0561
Phone number: 504-221-9531
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