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1255974515
DR. TERRELL S MANUEL, LLC
LAFAYETTE, LA
NPI
1255974515
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Entity Type
Organization
Authorized Contact
TERRELL S MANUEL
Owner/Provider
337-298-8293
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2019-10-19
Last Update Date
2019-10-19
Business Address
DR. TERRELL S MANUEL, LLC
336 BRIGHTWOOD DR
LAFAYETTE, LA 70508-7358
Phone number: 337-298-8293
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Mailing Address
DR. TERRELL S MANUEL, LLC
PO BOX 82570
LAFAYETTE, LA 70598-2570
Phone number: 337-298-8293
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