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Individual

DR. TERRY JOHN RUDOLPH JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ND

Contact information

Practice address
220 RIVER RD, LAFAYETTE, LA 70501-7700
(337) 366-7887
Mailing address
220 RIVER RD, LAFAYETTE, LA 70501-7700
(337) 366-7887

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary

Other

Enumeration date
01/07/2011
Last updated
01/07/2011
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