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1225518871
CELENIA A STANFORD
LAFAYETTE, LA
NPI
1225518871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: LA 310257)
Enumeration Date
2018-08-14
Last Update Date
2020-09-28
Business Address
CELENIA A STANFORD PA-C
202 WESTGATE RD
LAFAYETTE, LA 70506-2711
Phone number: 337-232-1802
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Mailing Address
CELENIA A STANFORD PA-C
418 PATIN RD
CARENCRO, LA 70520-5544
Phone number:
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