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1740577998
JEFFREY JOHN DAIGLE
LAKE CHARLES, LA
NPI
1740577998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA PA200462)
Enumeration Date
2011-07-07
Last Update Date
2019-12-27
Business Address
JEFFREY JOHN DAIGLE P.A.
1615 WOLF CIR
LAKE CHARLES, LA 70605-2348
Phone number: 337-312-8681
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Mailing Address
JEFFREY JOHN DAIGLE P.A.
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601-5724
Phone number: 337-312-8258
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