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Individual provider · Student in an Organized Health Care Education/Training Program · Jefferson, LA

NPI
1144022443
Type
Individual (Type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program
Specialty group
Student, Health Care
Taxonomy code
390200000X
Sex
Male
Sole proprietor
No
Enumerated
2025-03-26
Last updated
2025-03-26
Practice location
1401a Jefferson Hwy
Jefferson, LA 70121-2426
(504) 842-3260

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