CHRISTOPHER BLAINE VINCENT

LAFAYETTE, LA
NPI1619544574
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner Gerontology
(Licence: LA  220764)
Enumeration Date2021-06-09
Last Update Date2021-08-03
Business Address
CHRISTOPHER BLAINE VINCENT APRN
202 BEVINGTON DR
LAFAYETTE, LA 70508-5443
Phone number: 337-412-4506
Mailing Address
CHRISTOPHER BLAINE VINCENT APRN
202 BEVINGTON DR
LAFAYETTE, LA 70508-5443
Phone number: 337-412-4506
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