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1962984005
EMILE WILLARD ELLENDER LEGENDRE
LAFAYETTE, LA
NPI
1962984005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 310500)
Enumeration Date
2018-09-05
Last Update Date
2018-11-30
Business Address
Mr. EMILE WILLARD ELLENDER LEGENDRE PA
2390 W CONGRESS ST
LAFAYETTE, LA 70506-4205
Phone number: 337-261-6000
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Mailing Address
Mr. EMILE WILLARD ELLENDER LEGENDRE PA
205 BEVERLY DR
LAFAYETTE, LA 70503-3107
Phone number: 337-534-7040
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