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1386113066
RYAN JACK PAUL FAULKNER
BATON ROUGE, LA
NPI
1386113066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 200992)
Enumeration Date
2018-11-25
Last Update Date
2021-08-25
Business Address
Mr. RYAN JACK PAUL FAULKNER FNP
8401 PICARDY AVE
BATON ROUGE, LA 70809-3685
Phone number: 225-308-0247
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Mailing Address
Mr. RYAN JACK PAUL FAULKNER FNP
8401 PICARDY AVE
BATON ROUGE, LA 70809-3685
Phone number: 225-308-0247
Copy
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