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1063605202
JAMES ALLEN TILL
COVINGTON, LA
NPI
1063605202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: LA 1684)
Enumeration Date
2007-08-21
Last Update Date
2007-08-21
Business Address
MR. JAMES ALLEN TILL FNP
71207 HIGHWAY 21
COVINGTON, LA 70433-7121
Phone number: 985-892-6811
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Mailing Address
MR. JAMES ALLEN TILL FNP
71207 HIGHWAY 21
COVINGTON, LA 70433-7121
Phone number: 985-892-6811
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