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1154845808
COLLINS T KGOADI
LAFAYETTE, LA
NPI
1154845808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: LA 305550)
Enumeration Date
2017-08-02
Last Update Date
2017-08-02
Business Address
COLLINS T KGOADI PA-C
2810 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70506-5906
Phone number: 337-981-2949
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Mailing Address
COLLINS T KGOADI PA-C
121 CRESTHILL DR
YOUNGSVILLE, LA 70592-5656
Phone number: 337-356-8834
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