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1174004501
RENEE ROGER FALGOUT
BATON ROUGE, LA
NPI
1174004501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 308883)
Enumeration Date
2018-08-23
Last Update Date
2018-08-23
Business Address
RENEE ROGER FALGOUT PA
7777 HENNESSY BLVD STE 701
BATON ROUGE, LA 70808-4370
Phone number: 225-765-5864
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Mailing Address
RENEE ROGER FALGOUT PA
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 225-526-0010
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