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1073891024
CRYSTAL M GUSTIN
LAFAYETTE, LA
NPI
1073891024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: LA 1618-651T)
Enumeration Date
2011-07-25
Last Update Date
2016-07-06
Business Address
-- CRYSTAL M GUSTIN O.D.
5725 JOHNSTON ST STE 2314
LAFAYETTE, LA 70503-5315
Phone number: 337-984-2140
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Mailing Address
-- CRYSTAL M GUSTIN O.D.
5725 JOHNSTON ST STE 2314
LAFAYETTE, LA 70503-5315
Phone number: 337-984-2140
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