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Individual

RENEE ROGER FALGOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
7777 HENNESSY BLVD STE 701, BATON ROUGE, LA 70808-4370
(225) 765-5864
(225) 765-2013
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0010
(225) 765-9298

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
308883
LA

Other

Enumeration date
08/23/2018
Last updated
08/23/2018
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