ProviderBusinessMailingAddressFaxNumber = '3375348428'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1457870297
DEROUSELLE
DENITA
MARIE
913 S COLLEGE RD STE 105
LAFAYETTE
LA
705033061
1639209323
NEWCOSTE
CLAUDETTE
MARIE
913 S COLLEGE RD STE 105
LAFAYETTE
LA
705033061
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