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1134160815
TIMOTHY J PELLEGRIN
HOUMA, LA
NPI
1134160815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA APO4222)
Enumeration Date
2006-06-10
Last Update Date
2022-06-17
Business Address
TIMOTHY J PELLEGRIN PMHNP-BC
1014 W TUNNEL BLVD
HOUMA, LA 70360-4050
Phone number: 985-851-1717
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Mailing Address
TIMOTHY J PELLEGRIN PMHNP-BC
1115 WEBER ST
FRANKLIN, LA 70538-4124
Phone number: 337-828-2550
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