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Individual

MS. DONNA MARIE PUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
216 CHAMPION ST, GRAY, LA 70359
(985) 381-3284
Mailing address
PO BOX 1318, GRAY, LA 70359-1318
(985) 381-3284

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
LA4192
LA

Other

Enumeration date
05/13/2009
Last updated
05/13/2009
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