CHAD JEREMY DOMANGUE

MORGAN CITY, LA
NPI1588929723
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: LA  AP06871)
Enumeration Date2012-07-12
Last Update Date2016-01-04
Business Address
-- CHAD JEREMY DOMANGUE Nurse Practitioner
1125 MARGUERITE ST
MORGAN CITY, LA 70380-1855
Phone number: 800-893-9698
Mailing Address
-- CHAD JEREMY DOMANGUE Nurse Practitioner
200 CORPORATE BLVD SUITE 201
LAFAYETTE, LA 70508-3870
Phone number:
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