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1568697563
CRYSTAL ARDOIN FONTENOT
LAKE CHARLES, LA
NPI
1568697563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: LA RN103946-AP05780)
Enumeration Date
2009-05-19
Last Update Date
2011-11-04
Business Address
-- CRYSTAL ARDOIN FONTENOT NP
2000 OPELOUSAS ST
LAKE CHARLES, LA 70601-2641
Phone number: 337-439-9983
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Mailing Address
-- CRYSTAL ARDOIN FONTENOT NP
2000 OPELOUSAS ST
LAKE CHARLES, LA 70601-2641
Phone number: 337-439-9983
Copy
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