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Individual

ANDREW DAFOE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5748 VERMILLION BLVD, NEW ORLEANS, LA 70122-4218
(504) 444-2429
Mailing address
5748 VERMILLION BLVD, NEW ORLEANS, LA 70122-4218
(504) 444-2429

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary

Other

Enumeration date
04/03/2019
Last updated
04/03/2019
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