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1912289224
EAST BAYOU MEDICAL SUPPLY
LAFAYETTE, LA
NPI
1912289224
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Entity Type
Organization
Authorized Contact
PAUL EUGENE FENN
Physician
337-269-0136
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: LA MD200825)
Enumeration Date
2011-09-13
Last Update Date
2011-09-13
Business Address
EAST BAYOU MEDICAL SUPPLY
204 ENERGY PKWY SUITE B
LAFAYETTE, LA 70508-3816
Phone number: 337-269-0136
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Mailing Address
EAST BAYOU MEDICAL SUPPLY
204 ENERGY PKWY SUITE B
LAFAYETTE, LA 70508-3816
Phone number: 337-269-0136
Copy
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