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1043784267
ANNA G FAULK
LAFAYETTE, LA
NPI
1043784267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 202438)
Enumeration Date
2019-01-22
Last Update Date
2019-05-27
Business Address
ANNA G FAULK APRN
136 HOSPITAL DR
LAFAYETTE, LA 70503-2819
Phone number: 337-289-8282
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Mailing Address
ANNA G FAULK APRN
107 CHERRY BARK LN
LAFAYETTE, LA 70508-8146
Phone number: 318-218-3963
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