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1104825371
JASON R COMEAUX
LAFAYETTE, LA
NPI
1104825371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA PA10608RX)
Enumeration Date
2005-07-19
Last Update Date
2013-03-04
Business Address
JASON R COMEAUX PA-C
935 CAMELLIA BLVD STE 103
LAFAYETTE, LA 70508-7084
Phone number: 337-534-4356
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Mailing Address
JASON R COMEAUX PA-C
3438 TANNER RD
SCOTT, LA 70583-4011
Phone number: 337-693-9999
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