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1922195213
BLAINE THOMAS
BATON ROUGE, LA
NPI
1922195213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: LA 10076R)
Enumeration Date
2006-10-06
Last Update Date
2017-03-29
Business Address
BLAINE THOMAS M.D.
8212 KELWOOD AVE
BATON ROUGE, LA 70806-4801
Phone number: 225-929-7600
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Mailing Address
BLAINE THOMAS M.D.
2644 S SHERWOOD FOREST BLVD STE 121
BATON ROUGE, LA 70816-2248
Phone number: 225-293-2523
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