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Individual

ALLISON CORMIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
512 CANE DR, LAFAYETTE, LA 70508-4339
(337) 278-3038
(337) 231-5546
Mailing address
512 CANE DR, LAFAYETTE, LA 70508-4339
(337) 278-3038

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
4349
LA
171W00000X
Contractor
Primary
LEVEL 2 439834
LA

Other

Enumeration date
05/21/2007
Last updated
07/08/2007
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