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1598246670
ATHAN JOSEPH JEFFERSON
BATON ROUGE, LA
NPI
1598246670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1744P3200X Specialist, Prosthetics Case Management
Enumeration Date
2018-08-27
Last Update Date
2018-08-27
Business Address
ATHAN JOSEPH JEFFERSON
1097 S FLANNERY RD
BATON ROUGE, LA 70815-6920
Phone number: 504-957-0001
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Mailing Address
ATHAN JOSEPH JEFFERSON
14741 BRIGHTVIEW CT
BATON ROUGE, LA 70819-4012
Phone number: 504-957-0001
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