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Individual

MARC HAUTOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
409 AVENUE F, BOGALUSA, LA 70427-3633
(985) 735-8137
(985) 732-4777
Mailing address
409 AVENUE F, BOGALUSA, LA 70427-3633
(985) 735-8137
(985) 732-4777

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1039
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0880022
MS
05
1397563
LA
Enumeration date
02/22/2006
Last updated
12/28/2007
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