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1235129727
DIANA FONTENOT ROY
LAFAYETTE, LA
NPI
1235129727
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Professional Name
DIANA FONTENOT ROY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: LA 36487)
Enumeration Date
2005-10-26
Last Update Date
2007-07-08
Business Address
-- DIANA FONTENOT ROY crna
2390 W CONGRESS ST
LAFAYETTE, LA 70506-4205
Phone number: 337-261-6272
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Mailing Address
-- DIANA FONTENOT ROY crna
104 MISSION HILLS
BROUSSARD, LA 70518
Phone number: 337-856-0747
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