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1972591170
DERMATOLOGY CLINIC A PROFESSIONAL MEDICAL CORPORATION
BATON ROUGE, LA
NPI
1972591170
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Entity Type
Organization
Authorized Contact
HARRY A BURGLASS
Md President
225-769-7546
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2005-10-11
Last Update Date
2008-04-04
Business Address
DERMATOLOGY CLINIC A PROFESSIONAL MEDICAL CORPORATION
5326 O'DONOVAN DRIVE
BATON ROUGE, LA 70808-9153
Phone number: 225-769-7546
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Mailing Address
DERMATOLOGY CLINIC A PROFESSIONAL MEDICAL CORPORATION
5326 O'DONOVAN DRIVE
BATON ROUGE, LA 70808-9153
Phone number: 225-769-7546
Copy
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