ProviderBusinessMailingAddressFaxNumber = '3182393867'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1588175319 | BROUSSARD | DONALD | | | 644 E JEFFERSON AVE | BASTROP | LA | 712204619 |
| 1356899223 | FARRAR | HOLLEY | | | 644 E JEFFERSON AVE | BASTROP | LA | 712204619 |
| 1164930269 | GIBSON | JAKIRA | | | 308 VEGAS DR | MONROE | LA | 712023746 |
| 1033621859 | GREEN | CURT | | | 644 E JEFFERSON AVE | BASTROP | LA | 712204619 |
| 1447784970 | HAWKINS | LATONYA | | | 644 E JEFFERSON AVE | BASTROP | LA | 712204619 |
| 1376050526 | HUBBARD | KEVIN | | | 9409 WILLOW DR | BASTROP | LA | 712204814 |
| 1346768082 | JACKSON | KENTA | | | 223 HEIGHT ST | WEST MONROE | LA | 712915216 |
| 1891222832 | JENSON | JONSY | | | 644 E JEFFERSON AVE | BASTROP | LA | 712204619 |
| 1073011276 | KYLES | MONIQUE | | | 644 E JEFFERSON AVE | BASTROP | LA | 712204619 |
| 1457879199 | LEWIS | VIRGINIA | | | PO BOX 7 | HODGE | LA | 712470007 |
| 1013411057 | MASSEY | ANNIE | | | 644 E JEFFERSON AVE | BASTROP | LA | 712204619 |
| 1417443300 | MOORE | CHRISTINA | | | 644 E JEFFERSON AVE | BASTROP | LA | 712204619 |
| 1710405394 | MOSES | STEPHANIE | | | 818 FLORENCE ST | WEST MONROE | LA | 712917244 |
| 1578049482 | PASCERI | CHRISTINE | | | 408 CEDAR ST | MONROE | LA | 712016618 |
| 1124523378 | SMITH | SHAWANDA | | | 644 E JEFFERSON AVE | BASTROP | LA | 712204619 |
| 1154873388 | SOUZA | ALICIAH | KAE | | 810 E PECAN AVE | BASTROP | LA | 712205124 |
| 1447758842 | SPIVEY | REGAN | | | 114 NUTMEG DR | RUSTON | LA | 712700101 |
| 1649783812 | TUBBS | IVORY | | | 644 E JEFFERSON AVE | BASTROP | LA | 712204619 |
| 1447754486 | WOODS | YOLANDA | | | 644 E JEFFERSON AVE | BASTROP | LA | 712204619 |
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