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1205293941
JUSTIN JOSEPH DILLARD
CLINTON, LA
NPI
1205293941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP08607)
Enumeration Date
2016-01-26
Last Update Date
2016-01-26
Business Address
-- JUSTIN JOSEPH DILLARD APRN
11990 JACKSON ST
CLINTON, LA 70722-3210
Phone number: 225-683-5292
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Mailing Address
-- JUSTIN JOSEPH DILLARD APRN
PO BOX 395
CLINTON, LA 70722-0395
Phone number: 225-683-5292
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