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1831180553
JAY ROBERT MAUST
LAKE CHARLES, LA
NPI
1831180553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: LA 12770R)
Enumeration Date
2005-11-02
Last Update Date
2007-07-08
Business Address
Dr. JAY ROBERT MAUST MD
2903 1ST AVE
LAKE CHARLES, LA 70601-8809
Phone number: 337-478-6480
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Mailing Address
Dr. JAY ROBERT MAUST MD
2903 1ST AVE
LAKE CHARLES, LA 70601-8809
Phone number: 337-478-6480
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