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1437416617
JACOB LEE BREAUX
LAFAYETTE, LA
NPI
1437416617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0100X Internal Medicine Gastroenterology
(Licence: LA MD.207307)
Enumeration Date
2012-04-12
Last Update Date
2018-05-23
Business Address
JACOB LEE BREAUX M.D.
1211 COOLIDGE BLVD STE 303
LAFAYETTE, LA 70503
Phone number: 337-232-6697
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Mailing Address
JACOB LEE BREAUX M.D.
1211 COOLIDGE BLVD STE 303
LAFAYETTE, LA 70503-2636
Phone number: 337-232-6697
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