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Individual
TATE JAMES PERQUE
Active
Individual
TATE JAMES PERQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA200387
LA
363AS0400X
Surgical Physician Assistant
PA.200387
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2125362
—
LA
Enumeration date
09/24/2010
Last updated
07/28/2020
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