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1710207725
BRENT LEE SMITH
LAFAYETTE, LA
NPI
1710207725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA RN087084 - AP06269)
Enumeration Date
2010-06-02
Last Update Date
2011-05-28
Business Address
Mr. BRENT LEE SMITH ANP
2730 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70506-5939
Phone number: 337-988-1585
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Mailing Address
Mr. BRENT LEE SMITH ANP
PO BOX 4176
HOUMA, LA 70361-4176
Phone number: 985-872-5864
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