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1629222120
JENNIFER LAUREN WOMACK
BATON ROUGE, LA
NPI
1629222120
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Former Name
JENNIFER LAUREN DIETRICH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 200202)
Enumeration Date
2008-11-11
Last Update Date
2021-05-21
Business Address
JENNIFER LAUREN WOMACK PA-C
4950 ESSEN LN STE 400
BATON ROUGE, LA 70809
Phone number: 225-765-5864
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Mailing Address
JENNIFER LAUREN WOMACK PA-C
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 225-526-0011
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