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1023619277
CODY FAVARO
BATON ROUGE, LA
NPI
1023619277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 216158)
Enumeration Date
2020-11-04
Last Update Date
2021-04-01
Business Address
CODY FAVARO FNP-C
2840 FLORIDA ST
BATON ROUGE, LA 70802-2721
Phone number: 225-224-2402
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Mailing Address
CODY FAVARO FNP-C
2840 FLORIDA ST
BATON ROUGE, LA 70802-2721
Phone number: 225-224-2402
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