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1598138521
DEREK FONTENOT
EUNICE, LA
NPI
1598138521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 09105R)
Enumeration Date
2015-11-13
Last Update Date
2015-11-13
Business Address
Mr. DEREK FONTENOT
240 E LAUREL AVE
EUNICE, LA 70535-3418
Phone number: 337-546-1915
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Mailing Address
Mr. DEREK FONTENOT
240 E LAUREL AVE
EUNICE, LA 70535-3418
Phone number: 337-546-1915
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