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1164014999
SKYLAR RICHARD
LAFAYETTE, LA
NPI
1164014999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 218380)
Enumeration Date
2021-02-03
Last Update Date
2021-02-03
Business Address
SKYLAR RICHARD FNP
4212 W CONGRESS ST
LAFAYETTE, LA 70506-6765
Phone number: 337-703-3201
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Mailing Address
SKYLAR RICHARD FNP
PO BOX 919229
DALLAS, TX 75391-9229
Phone number: 337-289-8944
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