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Individual

MRS. REBECCA GAYLE RICHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
3975 I-49 SOUTH SERVICE RD, SUITE #200, OPELOUSAS, LA 70570
(337) 594-3980
(337) 594-3981
Mailing address
P.O. BOX 2118, OPELOUSAS, LA 70571
(337) 247-8660

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.200240
LA

Other

Enumeration date
09/05/2008
Last updated
06/18/2019
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