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1053477950
MARK ALEXANDER AZEL
FORT POLK, LA
NPI
1053477950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: 1052506)
Enumeration Date
2006-12-28
Last Update Date
2007-07-08
Business Address
Mr. MARK ALEXANDER AZEL PA-C
46TH ENGINEER COMBAT BATTALION BLDG. 2264, SUITE 105
FORT POLK, LA 71459
Phone number: 337-531-4233
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Mailing Address
Mr. MARK ALEXANDER AZEL PA-C
16314 MORAN PL APT A
FORT POLK, LA 71459-2576
Phone number: 337-537-8979
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