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1659074474
JACK ERROL METHVIN
PONCHATOULA, LA
NPI
1659074474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: LA 1908)
Enumeration Date
2023-03-22
Last Update Date
2023-03-22
Business Address
JACK ERROL METHVIN DC
350 METHVIN DR
PONCHATOULA, LA 70454-3629
Phone number: 985-215-7164
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Mailing Address
JACK ERROL METHVIN DC
350 METHVIN DR
PONCHATOULA, LA 70454-3629
Phone number: 985-215-7164
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