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1720047079
WARREN J. DEGATUR
BREAUX BRIDGE, LA
NPI
1720047079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 017128)
Enumeration Date
2006-03-23
Last Update Date
2007-08-20
Business Address
Dr. WARREN J. DEGATUR M.D.
206 CHAMPAGNE BLVD SUITE A
BREAUX BRIDGE, LA 70517-3700
Phone number: 337-332-3500
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Mailing Address
Dr. WARREN J. DEGATUR M.D.
PO BOX 335
BREAUX BRIDGE, LA 70517-0335
Phone number: 337-332-3500
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