Provider Information for 1942933437
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SARAH KAY JORGE
Sex: Female
NPI: 1942933437
Last Updated: 2022-07-03
Certification Date: 2022-07-03
Certification Date: 2022-07-03
Details
Name | Value | ||||||||||||||
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NPI | 1942933437 | ||||||||||||||
Enumeration Date | 2022-07-03 | ||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||
Sole Proprietor | YES | ||||||||||||||
Status | Active | ||||||||||||||
Mailing Address | 41168 LAKEFRONT AVE GONZALES, LA 70737-7079 United States Phone: 504-330-2797 | Fax: | ||||||||||||||
Primary Practice Address | 41168 LAKEFRONT AVE GONZALES, LA 70737-7079 United States Phone: 504-330-2797 | Fax: | ||||||||||||||
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