Individual
COREY DUPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
1990 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 850-1011
(985) 851-0053
Mailing address
1990 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 850-1011
(985) 851-0053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
303639
LA
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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