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Individual

DR. JACOB OOMMEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
502 RUE DE SANTE STE 208, LA PLACE, LA 70068-5424
(985) 652-8657
(985) 651-7554
Mailing address
502 RUE DE SANTE STE 208, LA PLACE, LA 70068-5424
(985) 652-8657
(985) 651-7554

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207V00000X
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1321125
LA
Enumeration date
02/12/2007
Last updated
07/08/2007
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