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1710243126
MARK BUTANIS
METAIRIE, LA
NPI
1710243126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2012-04-10
Last Update Date
2012-04-10
Business Address
-- MARK BUTANIS IDMT
3913 N I 10 SERVICE RD W APT 239
METAIRIE, LA 70002-6828
Phone number: 717-659-3239
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Mailing Address
-- MARK BUTANIS IDMT
3913 N I 10 SERVICE RD W APT 239
METAIRIE, LA 70002-6828
Phone number: 717-659-3239
Copy
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