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1386263853
JEFFERY VEZAIN
SLIDELL, LA
NPI
1386263853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA 211592)
Enumeration Date
2020-04-14
Last Update Date
2020-04-14
Business Address
JEFFERY VEZAIN
113 CHRISTIAN LN
SLIDELL, LA 70458-1377
Phone number: 866-530-6111
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Mailing Address
JEFFERY VEZAIN
2900 INDIANA AVE
KENNER, LA 70065-4605
Phone number: 504-575-3712
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