DAVID LEE MOUTON

CARENCRO, LA
NPI1053819706
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
(Licence:   3229)
Enumeration Date2018-01-29
Last Update Date2021-08-23
Business Address
DAVID LEE MOUTON CNIM
113 E SAINT PETER ST
CARENCRO, LA 70520-4008
Phone number: 225-239-2301
Mailing Address
DAVID LEE MOUTON CNIM
PO BOX 187
CARENCRO, LA 70520-0187
Phone number: 225-239-2301
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