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1063419745
JIMMY LEGROS
OPELOUSAS, LA
NPI
1063419745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA RN070188 - AP03265)
Enumeration Date
2005-07-07
Last Update Date
2008-11-03
Business Address
-- JIMMY LEGROS NP
3975 I 49 S SERVICE RD 234
OPELOUSAS, LA 70570-0775
Phone number: 337-942-8694
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Mailing Address
-- JIMMY LEGROS NP
PO BOX 52453
LAFAYETTE, LA 70505-2453
Phone number: 337-942-8694
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