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1518535558
BRANDON THOMAS FOTO
LAFAYETTE, LA
NPI
1518535558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA PENDING)
Enumeration Date
2021-06-16
Last Update Date
2021-06-16
Business Address
BRANDON THOMAS FOTO PA
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503-2621
Phone number: 337-289-7991
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Mailing Address
BRANDON THOMAS FOTO PA
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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