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1639146749
CHRISTOPHER B FORMANEK
BATON ROUGE, LA
NPI
1639146749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: LA PD321R)
Enumeration Date
2006-03-07
Last Update Date
2021-06-07
Business Address
CHRISTOPHER B FORMANEK D.P.M.
6141 PARKFOREST DR
BATON ROUGE, LA 70816-6111
Phone number: 225-756-0034
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Mailing Address
CHRISTOPHER B FORMANEK D.P.M.
6141 PARKFOREST DR
BATON ROUGE, LA 70816-6111
Phone number: 225-756-0034
Copy
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