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Organization
JEANNE D. THERIOT MD APMLLC
Active
Organization
JEANNE D. THERIOT MD APMLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE DAUPHINE THERIOT M.D. (OWNER/DIRECTOR)
(337) 332-2242
Entity
Organization
Contact information
Practice address
112 CHAMPAGNE BLVD, BREAUX BRIDGE, LA 70517-3852
(337) 332-2242
Mailing address
112 CHAMPAGNE BLVD, BREAUX BRIDGE, LA 70517-3852
(337) 332-2242
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
LA
Other
Enumeration date
05/03/2006
Last updated
03/10/2008
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