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1194574640
JUSTIN STANTON
SLIDELL, LA
NPI
1194574640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: LA 11556)
Enumeration Date
2024-05-16
Last Update Date
2024-05-16
Business Address
JUSTIN STANTON
114 GAUSE BLVD W
SLIDELL, LA 70460-2625
Phone number: 985-607-6363
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Mailing Address
JUSTIN STANTON
154 CYPRESS LAKES DR
SLIDELL, LA 70458-6242
Phone number: 985-607-5132
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