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1750422440
LEROY JOSEPH RICHARD SR
LAFAYETTE, LA
NPI
1750422440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA A10186LA)
Enumeration Date
2007-02-08
Last Update Date
2007-07-08
Business Address
Mr. LEROY JOSEPH RICHARD SR P.A.
3305 W PINHOOK RD
LAFAYETTE, LA 70508-3506
Phone number: 337-233-4480
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Mailing Address
Mr. LEROY JOSEPH RICHARD SR P.A.
134 CRESCENT LN
SUNSET, LA 70584-6115
Phone number: 337-662-3063
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