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1881906196
LUKE MANCUSO
LAFAYETTE, LA
NPI
1881906196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: LA 6060)
Enumeration Date
2010-07-02
Last Update Date
2010-10-20
Business Address
Dr. LUKE MANCUSO D.D.S.
4906 AMBASSADOR CAFFERY PKWY BLDG I
LAFAYETTE, LA 70508-6962
Phone number: 337-456-5573
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Mailing Address
Dr. LUKE MANCUSO D.D.S.
11 MARQUIS MNR
MORGAN CITY, LA 70380-1152
Phone number: 225-978-8603
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