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1912007311
ELLIOTT BUNYAN BLACK
METAIRIE, LA
NPI
1912007311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: LA 011207)
Enumeration Date
2006-09-25
Last Update Date
2007-07-08
Business Address
Dr. ELLIOTT BUNYAN BLACK M.D.
4228 HOUMA BLVD SUITE 100
METAIRIE, LA 70006-3000
Phone number: 504-883-8900
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Mailing Address
Dr. ELLIOTT BUNYAN BLACK M.D.
4228 HOUMA BLVD SUITE 100
METAIRIE, LA 70006-3000
Phone number: 504-883-8900
Copy
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