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1821056128
SCOTT MITCHELL BEAIRSTO
LAFAYETTE, LA
NPI
1821056128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: LA PD319R)
Enumeration Date
2006-05-03
Last Update Date
2007-12-19
Business Address
Dr. SCOTT MITCHELL BEAIRSTO D.P.M.
205 BONAIRE DR
LAFAYETTE, LA 70506-6827
Phone number: 504-889-0347
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Mailing Address
Dr. SCOTT MITCHELL BEAIRSTO D.P.M.
205 BONAIRE DR
LAFAYETTE, LA 70506-6827
Phone number: 337-337-9089
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