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1568080166
ERYN EZELL
LAFAYETTE, LA
NPI
1568080166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
202K00000X
(Licence: LA 1072852)
Enumeration Date
2020-07-09
Last Update Date
2020-07-09
Business Address
ERYN EZELL NCPT
106 HEYMANN BLVD
LAFAYETTE, LA 70503-2322
Phone number: 337-504-4279
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Mailing Address
ERYN EZELL NCPT
106 HEYMANN BLVD
LAFAYETTE, LA 70503-2322
Phone number: 337-504-4279
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