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1770815219
LANCE STUART FONTENOT
RAYNE, LA
NPI
1770815219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
Enumeration Date
2010-02-09
Last Update Date
2011-06-10
Business Address
Mr. LANCE STUART FONTENOT CSFA
1400 BARBARA ST
RAYNE, LA 70578-5512
Phone number: 337-277-1699
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Mailing Address
Mr. LANCE STUART FONTENOT CSFA
1400 BARBARA ST
RAYNE, LA 70578-5512
Phone number: 337-277-1699
Copy