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1649846213
JERRY LYNN SEPULVADO
LAKE CHARLES, LA
NPI
1649846213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 333579)
Enumeration Date
2021-06-03
Last Update Date
2024-02-22
Business Address
Mr. JERRY LYNN SEPULVADO MD
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601-8849
Phone number: 337-494-2023
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Mailing Address
Mr. JERRY LYNN SEPULVADO MD
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601-8849
Phone number: 337-494-2023
Copy
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