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1407541550
IAN JOSEPH TOBAL
JEFFERSON, LA
NPI
1407541550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-05
Last Update Date
2023-06-13
Business Address
IAN JOSEPH TOBAL
1514 JEFFERSON HWY
JEFFERSON, LA 70121-2429
Phone number: 504-842-3000
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Mailing Address
IAN JOSEPH TOBAL
1514 JEFFERSON HWY
JEFFERSON, LA 70121-2429
Phone number:
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