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1689758096
CARL B GONSOULIN
LAFAYETTE, LA
NPI
1689758096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: LA 2355)
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
Dr. CARL B GONSOULIN D.D.S.
126 HOSPITAL DR
LAFAYETTE, LA 70503-2819
Phone number: 337-232-0689
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Mailing Address
Dr. CARL B GONSOULIN D.D.S.
126 HOSPITAL DR
LAFAYETTE, LA 70503-2819
Phone number: 337-232-0689
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