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1366779175
JESSICA T FUSSELL
OPELOUSAS, LA
NPI
1366779175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA PA200328)
Enumeration Date
2009-11-16
Last Update Date
2017-07-28
Business Address
-- JESSICA T FUSSELL PA
703 E PRUDHOMME ST
OPELOUSAS, LA 70570-6494
Phone number: 337-942-7192
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Mailing Address
-- JESSICA T FUSSELL PA
120 RUE LOUIS XIV
LAFAYETTE, LA 70508-5739
Phone number: 337-769-7779
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