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1790779049
JOSELITO LAUREL MERCADO
MONROE, LA
NPI
1790779049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 01128F)
Enumeration Date
2005-09-01
Last Update Date
2007-07-08
Business Address
Mr. JOSELITO LAUREL MERCADO PT
100 S 2ND ST
MONROE, LA 71201-8537
Phone number: 318-398-9675
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Mailing Address
Mr. JOSELITO LAUREL MERCADO PT
PO BOX 2467
MONROE, LA 71207-2467
Phone number: 318-398-9675
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