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1952716342
KASEY S FONTENOT
THIBODAUX, LA
NPI
1952716342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: 1642)
Enumeration Date
2014-06-25
Last Update Date
2018-12-11
Business Address
KASEY S FONTENOT
101 LONGWOOD DR
THIBODAUX, LA 70301-8027
Phone number: 985-778-3148
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Mailing Address
KASEY S FONTENOT
101 LONGWOOD DR
THIBODAUX, LA 70301-8027
Phone number: 985-778-3148
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