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1881369445
PAUL ANANDA PATI
DESTREHAN, LA
NPI
1881369445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 221847)
Enumeration Date
2021-08-14
Last Update Date
2021-11-08
Business Address
Mr. PAUL ANANDA PATI
12589 AIRLINE HWY
DESTREHAN, LA 70047-2501
Phone number: 985-764-1158
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Mailing Address
Mr. PAUL ANANDA PATI
1611 LAKE AVE
METAIRIE, LA 70005-1413
Phone number: 504-421-3718
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