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1710961677
STACEY SMITH PERRAULT
BATON ROUGE, LA
NPI
1710961677
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Former Name
STACEY LEIGH SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: LA AP04588)
Enumeration Date
2005-12-05
Last Update Date
2007-12-03
Business Address
STACEY SMITH PERRAULT N.P.
5339 DIDESSE DR
BATON ROUGE, LA 70808-4306
Phone number: 225-765-3076
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Mailing Address
STACEY SMITH PERRAULT N.P.
5339 DIDESSE DR
BATON ROUGE, LA 70808-4306
Phone number: 225-765-3076
Copy
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