MATTHEW TYLER KHOSROPOUR

NEW IBERIA, LA
NPI1790287746
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP09821)
Enumeration Date2018-03-06
Last Update Date2018-03-06
Business Address
MATTHEW TYLER KHOSROPOUR
1110 E SAINT PETER ST
NEW IBERIA, LA 70560-3932
Phone number: 337-364-1166
Mailing Address
MATTHEW TYLER KHOSROPOUR
1012 PETROLEUM PKWY
BROUSSARD, LA 70518-8020
Phone number: 337-465-2159
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