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1134900640
JUSTIN LOUIS
LAKEPORT, CA
NPI
1134900640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2023-10-10
Last Update Date
2023-10-10
Business Address
JUSTIN LOUIS
160 S MAIN ST
LAKEPORT, CA 95453-5017
Phone number: 707-467-2010
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Mailing Address
JUSTIN LOUIS
PO BOX 2077
UKIAH, CA 95482-2077
Phone number:
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