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1891083515
JONATHON EDWARD RUSNAK
LAKE CHARLES, LA
NPI
1891083515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: LA 6067)
Enumeration Date
2011-07-15
Last Update Date
2011-07-15
Business Address
-- JONATHON EDWARD RUSNAK DDS
2629 COUNTRY CLUB RD
LAKE CHARLES, LA 70605-5911
Phone number: 337-474-3636
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Mailing Address
-- JONATHON EDWARD RUSNAK DDS
2629 COUNTRY CLUB RD
LAKE CHARLES, LA 70605-5911
Phone number: 337-474-3636
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