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1396883021
JASON COLLINS
LAFAYETTE, LA
NPI
1396883021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 1575)
Enumeration Date
2007-02-02
Last Update Date
2011-04-29
Business Address
Mr. JASON COLLINS NP
2810 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70506-5906
Phone number: 337-981-2949
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Mailing Address
Mr. JASON COLLINS NP
200 CORPORATE BLVD STE 201
LAFAYETTE, LA 70508-3870
Phone number: 337-354-1400
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