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1124289111
JOHN DESTEFANO
FORT POLK, LA
NPI
1124289111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: FL PO 3715)
Enumeration Date
2008-06-23
Last Update Date
2021-10-04
Business Address
Dr. JOHN DESTEFANO DPM
1585 3RD ST
FORT POLK, LA 71459-5102
Phone number: 337-531-3427
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Mailing Address
Dr. JOHN DESTEFANO DPM
7720 US HIGHWAY 98 W SUITE 340
MIRAMAR BEACH, FL 32550-7230
Phone number:
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