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1700214525
EBONY SMITH
LAFAYETTE, LA
NPI
1700214525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: LA 07542)
Enumeration Date
2013-10-15
Last Update Date
2016-06-09
Business Address
-- EBONY SMITH WHNP-BC
500 PATTERSON ST
LAFAYETTE, LA 70501-1849
Phone number: 337-439-9983
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Mailing Address
-- EBONY SMITH WHNP-BC
2000 OPELOUSAS ST
LAKE CHARLES, LA 70601-2641
Phone number: 337-493-9983
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