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Individual

BETHANY EAGLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1017 SAINT JOHN ST, LAFAYETTE, LA 70501-6711
(337) 261-2300
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/30/2021
Last updated
06/30/2021
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