KEITH OWEN BREAUX

RUSTON, LA
NPI1144889320
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: LA  207900)
Enumeration Date2019-06-11
Last Update Date2019-12-19
Business Address
Mr. KEITH OWEN BREAUX NP
401 E VAUGHN AVE
RUSTON, LA 71270-5950
Phone number: 318-254-2100
Mailing Address
Mr. KEITH OWEN BREAUX NP
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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