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DUSTIN DORSEY

Agencies Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

Provider NPI: 1659767713

Provider Information:
 DUSTIN  DORSEY 
Gender: M
Sole Proprietor

Practice Location:
203 HALLMARK AVE  LAFAYETTE, LA 70508-7766 US
Tel: 337-356-8050  Fax: --

Business Mailing Address:
203 HALLMARK AVE  LAFAYETTE, LA 70508-7766 US
Tel: 337-356-8050  Fax: --

NPI Information:
NPI: 1659767713
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251T00000XAgencies
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
LA47-1407033

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 251T00000X

Type:

Classification:



Definition:



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