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1205499605
JACOB MICHAEL O'QUIN
LAFAYETTE, LA
NPI
1205499605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: LA 313223)
Enumeration Date
2019-04-21
Last Update Date
2021-02-22
Business Address
JACOB MICHAEL O'QUIN
4801 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6917
Phone number: 337-470-2605
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Mailing Address
JACOB MICHAEL O'QUIN
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503-2621
Phone number: 337-289-7991
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