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1356074918
JONATHAN PAUL VALES
HAMMOND, LA
NPI
1356074918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 11270)
Enumeration Date
2022-07-01
Last Update Date
2022-07-01
Business Address
Mr. JONATHAN PAUL VALES DPT
1100 C M FAGAN DR STE 103
HAMMOND, LA 70403-5963
Phone number: 985-542-6664
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Mailing Address
Mr. JONATHAN PAUL VALES DPT
1100 C M FAGAN DR STE 103
HAMMOND, LA 70403-5963
Phone number: 985-542-6664
Copy
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