KORTLAN NELSON

MONROE, LA
NPI1669831848
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  6619)
Enumeration Date2016-02-17
Last Update Date2016-02-17
Business Address
-- KORTLAN NELSON
1413 S 2ND ST
MONROE, LA 71202-2739
Phone number: 318-323-3162
Mailing Address
-- KORTLAN NELSON
3814 BAYSIDE CIR
MONROE, LA 71201-2152
Phone number: 318-503-1019
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