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1831667104
LACY CULVER VINCENT
RUSTON, LA
NPI
1831667104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 310464)
Enumeration Date
2018-11-05
Last Update Date
2020-03-19
Business Address
LACY CULVER VINCENT PA
4396 HIGHWAY 80
RUSTON, LA 71270-8948
Phone number: 318-550-8928
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Mailing Address
LACY CULVER VINCENT PA
4396 HIGHWAY 80
RUSTON, LA 71270-8948
Phone number: 318-251-4659
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