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1578619227
JENNIFER A BOUSTANY
LAFAYETTE, LA
NPI
1578619227
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: LA 18217)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
-- JENNIFER A BOUSTANY M.D.
4630 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6949
Phone number: 337-989-2322
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Mailing Address
-- JENNIFER A BOUSTANY M.D.
4630 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6949
Phone number: 337-989-2322
Copy
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