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1811017882
BARRY STEPHEN BORDENAVE
LAKE CHARLES, LA
NPI
1811017882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: LA 13559)
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
Dr. BARRY STEPHEN BORDENAVE M.D.
321 OVERHILL DR
LAKE CHARLES, LA 70605-6527
Phone number: 337-474-8886
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Mailing Address
Dr. BARRY STEPHEN BORDENAVE M.D.
321 OVERHILL DR
LAKE CHARLES, LA 70605-6527
Phone number: 337-474-8886
Copy
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