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1083726582
MARK R PATIN
LAFAYETTE, LA
NPI
1083726582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA 03821)
Enumeration Date
2006-08-31
Last Update Date
2008-03-28
Business Address
Mr. MARK R PATIN CRNA
611 SAINT LANDRY ST
LAFAYETTE, LA 70506-4627
Phone number: 337-289-2966
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Mailing Address
Mr. MARK R PATIN CRNA
PO BOX 53864
LAFAYETTE, LA 70505-3864
Phone number: 337-289-2966
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