LARRY DEJEAN

LAFAYETTE, LA
NPI1356898555
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: LA  950970)
Enumeration Date2016-09-06
Last Update Date2016-09-06
Business Address
-- LARRY DEJEAN
106 HEYMANN BLVD
LAFAYETTE, LA 70503-2322
Phone number: 337-504-4279
Mailing Address
-- LARRY DEJEAN
106 HEYMANN BLVD
LAFAYETTE, LA 70503-2322
Phone number: 337-504-4279
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