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Individual

DANIEL MILLSAP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6252
Mailing address
4607 SHETLAND LN, HOUSTON, TX 77027-6207
(713) 419-8188

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/22/2024
Last updated
03/22/2024
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