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1982603254
MICHAEL TODD FONTENOT
BATON ROUGE, LA
NPI
1982603254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: FL ME0088212)
Enumeration Date
2005-07-19
Last Update Date
2014-09-23
Business Address
-- MICHAEL TODD FONTENOT M.D.
8595 PICARDY AVE STE 305
BATON ROUGE, LA 70809-3670
Phone number: 225-763-4438
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Mailing Address
-- MICHAEL TODD FONTENOT M.D.
8490 PICARDY AVE BLDG 200
BATON ROUGE, LA 70809-3731
Phone number: 225-237-1754
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