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Individual

JOSHUA DUANE DAHLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
443 HEYMANN BLVD, STE. B, LAFAYETTE, LA 70503-2630
(337) 289-8429
(337) 289-8431
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0001
(225) 765-9196

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP08114
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2386620
LA
Enumeration date
02/03/2015
Last updated
10/22/2018
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