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1083017271
BANEE MADISON
LAFAYETTE, LA
NPI
1083017271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 200759)
Enumeration Date
2014-10-01
Last Update Date
2014-11-05
Business Address
-- BANEE MADISON P.A
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6902
Phone number: 337-561-9100
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Mailing Address
-- BANEE MADISON P.A
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6902
Phone number: 337-561-9100
Copy
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