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1679039606
JACQUELINE WHITE
LAFAYETTE, LA
NPI
1679039606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 203678)
Enumeration Date
2019-02-14
Last Update Date
2019-02-14
Business Address
JACQUELINE WHITE NP
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503-2621
Phone number: 337-289-7740
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Mailing Address
JACQUELINE WHITE NP
311 ARTISAN RD APT G
LAFAYETTE, LA 70508-5854
Phone number: 337-254-2526
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