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1831202001
TRAVIS J LANDRY
THIBODAUX, LA
NPI
1831202001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: LA la10521rx)
Enumeration Date
2006-08-15
Last Update Date
2011-09-21
Business Address
-- TRAVIS J LANDRY PA
602 N ACADIA RD
THIBODAUX, LA 70301-4847
Phone number: 985-493-4727
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Mailing Address
-- TRAVIS J LANDRY PA
602 N ACADIA RD
THIBODAUX, LA 70301-4847
Phone number: 985-493-4727
Copy
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