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1477310639
RYAN KEOGH PALERMO
LAKE CHARLES, LA
NPI
1477310639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 340419)
Enumeration Date
2024-03-04
Last Update Date
2024-06-11
Business Address
RYAN KEOGH PALERMO PA-C
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601-8990
Phone number: 337-494-4900
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Mailing Address
RYAN KEOGH PALERMO PA-C
PO BOX 122165 DEPT 2165
DALLAS, TX 75312-0001
Phone number: 337-494-2921
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