NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1013683903
THIBODAUX REGIONAL URGENT CARE LLC
602 N ACADIA RD
THIBODAUX
LA
703014823
1043854086
FUGLAAR
NICHOLAS
S
2031 AUDUBON AVE
THIBODAUX
LA
703015073
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