MATTHEW KIRK GARRISON

FORT POLK, LA
NPI1801256649
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: HI  51282)
Enumeration Date2016-03-04
Last Update Date2016-03-04
Business Address
-- MATTHEW KIRK GARRISON
1585 3RD ST
FORT POLK, LA 71459-5102
Phone number: 337-353-2465
Mailing Address
-- MATTHEW KIRK GARRISON
1714 LIONS CAMP RD
ANACOCO, LA 71403-3215
Phone number: 417-983-8456
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