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1699794768
STEPHEN EVANGELLO MARTIN MANUEL
BATON ROUGE, LA
NPI
1699794768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA PT03638F)
Enumeration Date
2006-07-19
Last Update Date
2013-08-20
Business Address
Mr. STEPHEN EVANGELLO MARTIN MANUEL P.T.
5438 ODONOVAN DR SUITE 100
BATON ROUGE, LA 70808-4364
Phone number: 225-769-0818
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Mailing Address
Mr. STEPHEN EVANGELLO MARTIN MANUEL P.T.
5438 ODONOVAN DR
BATON ROUGE, LA 70808-4364
Phone number: 225-769-0818
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