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1841759099
JEREMY WHITE
LAFAYETTE, LA
NPI
1841759099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 300725)
Enumeration Date
2019-03-18
Last Update Date
2022-07-13
Business Address
JEREMY WHITE
427 HEYMANN BLVD
LAFAYETTE, LA 70503-2616
Phone number: 337-234-1111
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Mailing Address
JEREMY WHITE
427 HEYMANN BLVD
LAFAYETTE, LA 70503-2616
Phone number:
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