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1922122001
RANDY THOMAS GAUTHREAUX
LAFAYETTE, LA
NPI
1922122001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 3142)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
Dr. RANDY THOMAS GAUTHREAUX D.D.S.
1113 FOREMAN DR
LAFAYETTE, LA 70506-2929
Phone number: 337-988-0805
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Mailing Address
Dr. RANDY THOMAS GAUTHREAUX D.D.S.
1113 FOREMAN DR
LAFAYETTE, LA 70506-2929
Phone number: 337-988-0805
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