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1346827391
NP MED OF ACADIANA LLC
LAFAYETTE, LA
NPI
1346827391
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Entity Type
Organization
Authorized Contact
KEIFFER BENGIE WYBLE
Sole Owner
305-322-5100
Organization Subpart ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
Enumeration Date
2021-03-25
Last Update Date
2021-03-25
Business Address
NP MED OF ACADIANA LLC
4811 AMBASSADOR CAFFERY PKWY FL 4
LAFAYETTE, LA 70508-7265
Phone number: 305-322-5100
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Mailing Address
NP MED OF ACADIANA LLC
207 SANDBAR LN
LAFAYETTE, LA 70508-7263
Phone number: 305-832-2510
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