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Individual

DR. EVELYN MAGSINO-BACUTA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3909 LAPALCO BLVD, SUITE 100, HARVEY, LA 70058-2302
(504) 349-6900
(504) 348-7487
Mailing address
1101 MEDICAL CENTER BLVD, ATTN: HEIDI GWINN, MARRERO, LA 70072-3147
(504) 349-1297
(504) 349-1146

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12409R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1699861
LA
Enumeration date
09/21/2005
Last updated
07/08/2007
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