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1619977881
CHARLES DANIEL MELANCON
LAFAYETTE, LA
NPI
1619977881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: LA A10616)
Enumeration Date
2005-07-28
Last Update Date
2009-02-05
Business Address
-- CHARLES DANIEL MELANCON PA
1103 KALISTE SALOOM ROAD SUITE 102
LAFAYETTE, LA 70508-2636
Phone number: 337-234-5234
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Mailing Address
-- CHARLES DANIEL MELANCON PA
1103 KALISTE SALOOM ROAD SUITE 102
LAFAYETTE, LA 70508-2636
Phone number: 337-234-5234
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