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1982108866
SOUTHERN ENT ASSOCIATES INC
THIBODAUX, LA
NPI
1982108866
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Entity Type
Organization
Authorized Contact
KRISTI R TORTORICH
COO
985-446-5079
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA AP09823)
Enumeration Date
2018-03-23
Last Update Date
2018-03-23
Business Address
SOUTHERN ENT ASSOCIATES INC
604 N. ACADIA RD STE 101
THIBODAUX, LA 70301
Phone number: 985-446-5079
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Mailing Address
SOUTHERN ENT ASSOCIATES INC
604 N. ACADIA RD STE 101
THIBODAUX, LA 70301
Phone number: 985-446-5079
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