NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1194712224
ARDOIN
REGINALD
1103 KALISTE SALOOM RD
LAFAYETTE
LA
705085783
1730410630
JUDICE
BRANDIE
LYNNE
1103 KALISTE SALOOM RD
LAFAYETTE
LA
705085783
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