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Individual

JAY GOULD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
144 RUE ACADIAN, BELLE CHASSE, LA 70037-4140
(504) 812-6986
Mailing address
144 RUE ACADIAN, BELLE CHASSE, LA 70037-4140

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00998
LA

Other

Enumeration date
04/09/2010
Last updated
04/09/2010
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