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Individual

DON A FALGOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4608 HWY 1, RACELAND, LA 70394
(985) 537-6841
Mailing address
4608 HWY 1, RACELAND, LA 70394
(958) 537-6841

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP07402
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04224360
MS
05
2347268
LA
Enumeration date
08/28/2013
Last updated
06/26/2015
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