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Individual

JARED S THURSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1018 8TH ST, MORGAN CITY, LA 70380-1914
(985) 380-5688
(985) 329-2661
Mailing address
1018 8TH ST, MORGAN CITY, LA 70380-1914
(985) 380-5688

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD203920
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1956821
LA
Enumeration date
06/18/2009
Last updated
06/24/2020
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