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1558601088
BRIAN JAMES CREDEUR
LAKE CHARLES, LA
NPI
1558601088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP07219)
Enumeration Date
2013-02-20
Last Update Date
2013-07-03
Business Address
-- BRIAN JAMES CREDEUR N.P.
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601-5724
Phone number: 337-312-8246
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Mailing Address
-- BRIAN JAMES CREDEUR N.P.
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601-5724
Phone number: 337-433-8400
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