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1033465778
DANIELLE JACKSON THREATTS
LAFAYETTE, LA
NPI
1033465778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA AP07019)
Enumeration Date
2012-07-31
Last Update Date
2020-05-01
Business Address
DANIELLE JACKSON THREATTS
105 INDEPENDENCE BLVD STE 1
LAFAYETTE, LA 70506-8710
Phone number: 337-534-4087
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Mailing Address
DANIELLE JACKSON THREATTS
405 N PARKERSON ST
RAYNE, LA 70578-6544
Phone number: 337-534-4087
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