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1972162311
CASEY CORNER ODO
BATON ROUGE, LA
NPI
1972162311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 312955)
Enumeration Date
2019-06-10
Last Update Date
2021-05-10
Business Address
CASEY CORNER ODO PA-C
2840 FLORIDA BLVD
BATON ROUGE, LA 70802-2721
Phone number: 225-224-8690
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Mailing Address
CASEY CORNER ODO PA-C
9034 SOUTHLAWN DR
BATON ROUGE, LA 70810-2680
Phone number: 318-305-5573
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