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1669923397
MASON G PORTER
HAMMOND, LA
NPI
1669923397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 09399)
Enumeration Date
2016-10-18
Last Update Date
2016-10-18
Business Address
-- MASON G PORTER DPT
2204 ROBIN AVE
HAMMOND, LA 70403-5751
Phone number: 985-542-7878
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Mailing Address
-- MASON G PORTER DPT
2204 ROBIN AVE
HAMMOND, LA 70403-5751
Phone number: 985-542-7878
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