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1467219394
MACEY ORTIZ
JEFFERSON, LA
NPI
1467219394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-03-06
Last Update Date
2024-03-06
Business Address
MACEY ORTIZ
1514 JEFFERSON HWY
JEFFERSON, LA 70121-2429
Phone number: 504-842-3000
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Mailing Address
MACEY ORTIZ
324 ALAN CIR
SLIDELL, LA 70458-6502
Phone number:
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