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1366730624
JACQUELINE TATE HENSON
LAFAYETTE, LA
NPI
1366730624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA RN105121-AP06557)
Enumeration Date
2011-07-20
Last Update Date
2011-07-20
Business Address
Mrs. JACQUELINE TATE HENSON NP
300 WEST ST. MARY BLVD
LAFAYETTE, LA 70506
Phone number: 337-233-1542
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Mailing Address
Mrs. JACQUELINE TATE HENSON NP
300 WEST ST. MARY BLVD
LAFAYETTE, LA 70506
Phone number:
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