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1417918566
RODOLFO QUINTANA
FORT POLK, LA
NPI
1417918566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: TX 648027)
Enumeration Date
2006-03-29
Last Update Date
2007-07-08
Business Address
-- RODOLFO QUINTANA
1585 3RD ST
FORT POLK, LA 71459-5102
Phone number: 337-531-7961
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Mailing Address
-- RODOLFO QUINTANA
5403 ANDERSON CT
FORT POLK, LA 71459-3490
Phone number: 337-531-7961
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