JACOB SEBASTIEN BORDELON

LAFAYETTE, LA
NPI1912489279
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  310461)
Enumeration Date2018-09-04
Last Update Date2018-10-04
Business Address
JACOB SEBASTIEN BORDELON
439 HEYMANN BLVD
LAFAYETTE, LA 70503-2616
Phone number: 337-269-0963
Mailing Address
JACOB SEBASTIEN BORDELON
439 HEYMANN BLVD
LAFAYETTE, LA 70503-2616
Phone number: 337-269-0963
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