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1861069551
RYAN ROUGELOT
COVINGTON, LA
NPI
1861069551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 340136)
Enumeration Date
2021-06-10
Last Update Date
2024-06-06
Business Address
RYAN ROUGELOT
1202 S TYLER ST
COVINGTON, LA 70433-2330
Phone number: 985-898-4194
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Mailing Address
RYAN ROUGELOT
1202 S TYLER ST
COVINGTON, LA 70433-2330
Phone number: 985-898-4194
Copy
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