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Southern Ent Associates INC

Audiologist in Thibodaux, LA. Organization (NPI-2).

NPI number1982155388
StatusActive
Last updated in NPPESOct 20, 2016

Details

NPI
1982155388
Entity type
Organization (NPI-2)
Legal business name
Southern Ent Associates INC
Organization subpart
No
Enumeration date
Oct 20, 2016
Last updated
Oct 20, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
231H00000X Audiologist7118LAYes

Practice location

604 North Acadia Road Suite 101
Thibodaux, LA 70301

Phone 985-446-5079 · Fax 985-447-2497

Mailing address

604 North Acadia Road Suite 101
Thibodaux, LA 70301

Phone 985-446-5079 · Fax 985-447-2497

Authorized official

Kayla Marcel
Insurance
9854465079

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