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1952303240
CHAKSHU GAUTAM
LAFAYETTE, LA
NPI
1952303240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 15033R)
Enumeration Date
2005-06-01
Last Update Date
2023-10-23
Business Address
Dr. CHAKSHU GAUTAM M.D.
3149 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70506-7209
Phone number: 337-288-5961
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Mailing Address
Dr. CHAKSHU GAUTAM M.D.
3149 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70506-7209
Phone number: 337-288-5961
Copy
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