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1720081193
JACK L. BREAUX
BATON ROUGE, LA
NPI
1720081193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: LA 013762)
Enumeration Date
2005-05-31
Last Update Date
2024-03-05
Business Address
Dr. JACK L. BREAUX M.D.
8080 BLUEBONNET BLVD STE 2222
BATON ROUGE, LA 70810-7828
Phone number: 225-769-2222
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Mailing Address
Dr. JACK L. BREAUX M.D.
604 N ACADIA RD STE 101
THIBODAUX, LA 70301-4897
Phone number: 985-446-5079
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