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1861718926
JESSICA BENOIT THIBODAUX
THIBODAUX, LA
NPI
1861718926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA ap06094)
Enumeration Date
2010-04-14
Last Update Date
2011-12-07
Business Address
Ms. JESSICA BENOIT THIBODAUX FNP
1320 MARTIN LUTHER KING DR
THIBODAUX, LA 70301-4886
Phone number: 985-446-2021
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Mailing Address
Ms. JESSICA BENOIT THIBODAUX FNP
PO BOX 4176
HOUMA, LA 70361-4176
Phone number: 985-876-0300
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