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1710272919
DEREK SCOTT FOREMAN
LAFAYETTE, LA
NPI
1710272919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA PA.200451)
Enumeration Date
2011-06-15
Last Update Date
2011-06-15
Business Address
-- DEREK SCOTT FOREMAN PA-C
200 LA RUE FRANCE
LAFAYETTE, LA 70508-3104
Phone number: 337-264-9787
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Mailing Address
-- DEREK SCOTT FOREMAN PA-C
200 LA RUE FRANCE
LAFAYETTE, LA 70508-3104
Phone number: 337-264-9787
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