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ELMO EMILE PETITJEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
806 ODD FELLOWS RD, CROWLEY, LA 70526-2214
(337) 783-8316
Mailing address
216 NOTTING HILL WAY, LAFAYETTE, LA 70508-5417
(337) 366-4079

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13124
LA

Other

Enumeration date
08/23/2016
Last updated
09/13/2016
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