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1992044457
PHILIP NICASIO DURAN
BEAUMONT, TX
NPI
1992044457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 745041)
Enumeration Date
2013-02-04
Last Update Date
2013-02-04
Business Address
-- PHILIP NICASIO DURAN NP
2830 CALDER ST
BEAUMONT, TX 77702-1809
Phone number: 800-893-9698
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Mailing Address
-- PHILIP NICASIO DURAN NP
200 CORPORATE BLVD SUITE 201
LAFAYETTE, LA 70508-3870
Phone number:
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