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1659764041
JOHN-MARIO WALTER ALTAMIRANO
LAFAYETTE, LA
NPI
1659764041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA AP08184)
Enumeration Date
2015-03-10
Last Update Date
2020-01-20
Business Address
JOHN-MARIO WALTER ALTAMIRANO FNP
2730 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70506-5939
Phone number: 337-988-1585
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Mailing Address
JOHN-MARIO WALTER ALTAMIRANO FNP
2730 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70506-5939
Phone number: 337-988-1585
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