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1942404793
MARTHA VANDERSYPEN ROUSSEL
BATON ROUGE, LA
NPI
1942404793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: LA 5276)
Enumeration Date
2007-06-14
Last Update Date
2007-07-08
Business Address
Dr. MARTHA VANDERSYPEN ROUSSEL DDS
8220 GOODWOOD BLVD STE 4B
BATON ROUGE, LA 70806-7741
Phone number: 225-603-0590
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Mailing Address
Dr. MARTHA VANDERSYPEN ROUSSEL DDS
39450 QUAIL CREEK AVE
PRAIRIEVILLE, LA 70769-4829
Phone number: 225-603-0590
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