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1700926409
FOOTSTEPS, LLC
BATON ROUGE, LA
NPI
1700926409
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Entity Type
Organization
Authorized Contact
CHRISTOPHER FORMANEK
Physician
225-756-0034
Organization Subpart ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: LA PD321R)
Enumeration Date
2007-02-08
Last Update Date
2021-05-24
Business Address
FOOTSTEPS, LLC
6141 PARKFOREST DR
BATON ROUGE, LA 70816-6111
Phone number: 225-756-0034
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Mailing Address
FOOTSTEPS, LLC
6141 PARKFOREST DR
BATON ROUGE, LA 70816-6111
Phone number: 225-756-0034
Copy
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