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1770359952
BENNETT BOUSTANY FONTENOT LLC
LAFAYETTE, LA
NPI
1770359952
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Entity Type
Organization
Authorized Contact
LAUREN GAST
Manager
985-635-6943
Organization Subpart ?
No
Primary Taxonomy
2086S0122X Surgery, Plastic and Reconstructive Surgery
Enumeration Date
2023-11-29
Last Update Date
2023-11-30
Business Address
BENNETT BOUSTANY FONTENOT LLC
5000 AMBASSADOR CAFFERY PKWY STE 101
LAFAYETTE, LA 70508-6984
Phone number: 504-390-4619
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Mailing Address
BENNETT BOUSTANY FONTENOT LLC
5000 AMBASSADOR CAFFERY PKWY STE 101
LAFAYETTE, LA 70508-6984
Phone number:
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