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1952398893
WILLIAM TRENT MASSENGALE
PRAIRIEVILLE, LA
NPI
1952398893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: LA 023151)
Enumeration Date
2005-10-05
Last Update Date
2024-08-22
Business Address
Dr. WILLIAM TRENT MASSENGALE MD
17503 OLD JEFFERSON HWY
PRAIRIEVILLE, LA 70769-3930
Phone number: 225-313-4560
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Mailing Address
Dr. WILLIAM TRENT MASSENGALE MD
17503 OLD JEFFERSON HWY
PRAIRIEVILLE, LA 70769
Phone number: 225-313-4560
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W TRENT MASSENGALE, MD LLC