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Individual

DR. VALLEE AUGUSTUS DEBELLEVUE II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
72004 KUSTENMACHER RD, ABITA SPRINGS, LA 70420-3504
(985) 867-9880
(985) 867-9880
Mailing address
72004 KUSTENMACHER RD, ABITA SPRINGS, LA 70420-3504
(985) 867-9880
(985) 867-9880

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
727390T
LA

Other

Enumeration date
07/10/2009
Last updated
07/10/2009
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