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Individual

JASON CHARLES LEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1233 WAYNE GILMORE CIR STE 450, OPELOUSAS, LA 70570-6405
(337) 942-3006
(337) 942-7744
Mailing address
1233 WAYNE GILMORE CIR STE 450, OPELOUSAS, LA 70570-6405
(337) 942-3006
(337) 942-7744

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP03864
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104051
LA
Enumeration date
07/07/2005
Last updated
01/23/2020
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