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Individual

MARSHALL QUINN COCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
2730 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-5904
(337) 988-1585
(337) 988-1586
Mailing address
2730 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-5939
(337) 988-1585
(337) 981-4694

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN081153 -AP05151
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1008176
LA
Enumeration date
03/02/2007
Last updated
03/09/2020
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