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1295969467
MAJOR JOSEPH MITTENDORF
BATON ROUGE, LA
NPI
1295969467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA A10250)
Enumeration Date
2009-05-04
Last Update Date
2009-05-04
Business Address
-- MAJOR JOSEPH MITTENDORF PA-C
12091 BRICKSOME AVE
BATON ROUGE, LA 70816-2699
Phone number: 225-756-2673
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Mailing Address
-- MAJOR JOSEPH MITTENDORF PA-C
15960 HIGHLAND RD
BATON ROUGE, LA 70810-6512
Phone number: 225-752-2276
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