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1922041334
JACQUES A DE LA BRETONNE
BATON ROUGE, LA
NPI
1922041334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: LA 013215)
Enumeration Date
2006-06-14
Last Update Date
2007-07-08
Business Address
-- JACQUES A DE LA BRETONNE M.D.
5422 DIJON DR
BATON ROUGE, LA 70808-4315
Phone number: 225-769-9337
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Mailing Address
-- JACQUES A DE LA BRETONNE M.D.
PO BOX 14530
BATON ROUGE, LA 70898-4530
Phone number: 225-769-6700
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