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1962495895
BERTRAND OLAVIDES SY
BAY ST LOUIS, MS
NPI
1962495895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MS 09048)
Enumeration Date
2005-08-25
Last Update Date
2007-07-08
Business Address
Dr. BERTRAND OLAVIDES SY MD
151 THAMES AVE
BAY ST LOUIS, MS 39520-5002
Phone number: 228-467-1320
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Mailing Address
Dr. BERTRAND OLAVIDES SY MD
PO BOX 2249
BAY ST LOUIS, MS 39521-2249
Phone number: 228-467-1820
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