SEAN MCDONOUGH

BATON ROUGE, LA
NPI1851706154
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: LA  200711)
Enumeration Date2014-06-25
Last Update Date2014-06-25
Business Address
SEAN MCDONOUGH
7777 HENNESSY BLVD SUITE 1008, CVT SURGICAL CENTER
BATON ROUGE, LA 70808-4537
Phone number: 225-766-0416
Mailing Address
SEAN MCDONOUGH
4262 JANET AVE APT 4
BATON ROUGE, LA 70808-4537
Phone number:
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