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1215126891
JEFFERSON KENNETH OBERLE
BATON ROUGE, LA
NPI
1215126891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 200070Rx)
Enumeration Date
2007-10-18
Last Update Date
2008-05-15
Business Address
Mr. JEFFERSON KENNETH OBERLE PA-C
5000 HENNESSY BLVD OLOL ER
BATON ROUGE, LA 70808-4375
Phone number: 225-765-8070
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Mailing Address
Mr. JEFFERSON KENNETH OBERLE PA-C
5010 MANCUSO LN APT # 921
BATON ROUGE, LA 70809-3594
Phone number: 225-773-3669
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