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1396761060
DEIRDRE IRENE DETRAZ
LAFAYETTE, LA
NPI
1396761060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: LA APO 4805)
Enumeration Date
2006-07-14
Last Update Date
2024-11-08
Business Address
DEIRDRE IRENE DETRAZ ANPC
207 N LUKE ST
LAFAYETTE, LA 70506
Phone number: 337-739-7278
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Mailing Address
DEIRDRE IRENE DETRAZ ANPC
PO BOX 81095
LAFAYETTE, LA 70598-1095
Phone number: 337-739-7278
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