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1437711017
TRAVIS CHRISTOPHER LEGLUE
NEW IBERIA, LA
NPI
1437711017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 206762)
Enumeration Date
2019-07-03
Last Update Date
2019-07-03
Business Address
TRAVIS CHRISTOPHER LEGLUE NP
104 DANIEL LN
NEW IBERIA, LA 70563-1285
Phone number: 225-776-2958
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Mailing Address
TRAVIS CHRISTOPHER LEGLUE NP
104 DANIEL LN
NEW IBERIA, LA 70563-1285
Phone number: 225-776-2958
Copy
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