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1982807632
NICOLE SUBERVILLE WASCOM
ABITA SPRINGS, LA
NPI
1982807632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: LA 5288)
Enumeration Date
2007-06-08
Last Update Date
2007-07-08
Business Address
-- NICOLE SUBERVILLE WASCOM D.D.S.
22464 HIGHWAY 435
ABITA SPRINGS, LA 70420-2206
Phone number: 985-893-7835
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Mailing Address
-- NICOLE SUBERVILLE WASCOM D.D.S.
22464 HIGHWAY 435
ABITA SPRINGS, LA 70420-2206
Phone number: 985-893-7835
Copy
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