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1962942839
MARCUS RYAN DAVIDSON
LAFAYETTE, LA
NPI
1962942839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 309327)
Enumeration Date
2017-02-27
Last Update Date
2019-07-22
Business Address
MARCUS RYAN DAVIDSON PA-C
605 SILVERSTONE RD STE 100
LAFAYETTE, LA 70508
Phone number: 337-266-9985
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Mailing Address
MARCUS RYAN DAVIDSON PA-C
605 SILVERSTONE RD STE 100
LAFAYETTE, LA 70508-6899
Phone number: 972-393-5559
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