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1730187162
NICHOLAS JOSEPH VIVIANO
COVINGTON, LA
NPI
1730187162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207NS0135X Dermatology, Procedural Dermatology
(Licence: LA 015859)
Enumeration Date
2005-07-11
Last Update Date
2007-07-08
Business Address
Dr. NICHOLAS JOSEPH VIVIANO MD
7031 HIGHWAY 190
COVINGTON, LA 70433-4955
Phone number: 985-893-9464
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Mailing Address
Dr. NICHOLAS JOSEPH VIVIANO MD
PO BOX 1259
MANDEVILLE, LA 70470-1259
Phone number: 985-893-9464
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