ProviderBusinessMailingAddressFaxNumber = '2256445415'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1306844147
HALL
SHAWN
2647 S SAINT ELIZABETH BLVD STE 100
GONZALES
LA
707375019
1760462782
LABATUT
DWAYNE
PAUL
5959 S SHERWOOD FOREST BLVD
BATON ROUGE
LA
708166038
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