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1053142885
ETHAN LOFTIN
SLIDELL, LA
NPI
1053142885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: LA 7839)
Enumeration Date
2024-08-13
Last Update Date
2024-08-13
Business Address
Dr. ETHAN LOFTIN DPT
1311 GAUSE BLVD
SLIDELL, LA 70458-3015
Phone number: 985-649-6577
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Mailing Address
Dr. ETHAN LOFTIN DPT
1311 GAUSE BLVD
SLIDELL, LA 70458-3015
Phone number: 985-649-6577
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