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1518342310
MATTHEW ALEXANDER DECLOUET
LAFAYETTE, LA
NPI
1518342310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA AP08470)
Enumeration Date
2015-07-22
Last Update Date
2023-04-18
Business Address
Mr. MATTHEW ALEXANDER DECLOUET PMHNP
302 LA RUE FRANCE STE 202
LAFAYETTE, LA 70508-3133
Phone number: 337-534-0971
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Mailing Address
Mr. MATTHEW ALEXANDER DECLOUET PMHNP
302 LA RUE FRANCE STE 202
LAFAYETTE, LA 70508-3133
Phone number: 337-534-0971
Copy
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