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1750880134
ROBERT GOMANN GENOVESE
OPELOUSAS, LA
NPI
1750880134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: LA 307277)
Enumeration Date
2018-02-12
Last Update Date
2018-02-12
Business Address
Mr. ROBERT GOMANN GENOVESE PA-C
1233 WAYNE GILMORE CIR STE 250A
OPELOUSAS, LA 70570-6405
Phone number: 337-948-8556
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Mailing Address
Mr. ROBERT GOMANN GENOVESE PA-C
3306 WALNUT DR
OPELOUSAS, LA 70570-6946
Phone number: 337-945-4695
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