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1902875222
TIMOTHY R NAQUIN
LAKE CHARLES, LA
NPI
1902875222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: LA PT00455)
Enumeration Date
2006-03-17
Last Update Date
2007-07-08
Business Address
Mr. TIMOTHY R NAQUIN PT
2915 COMMON ST
LAKE CHARLES, LA 70601
Phone number: 337-439-6616
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Mailing Address
Mr. TIMOTHY R NAQUIN PT
2915 COMMON ST
LAKE CHARLES, LA 70601
Phone number: 337-439-6616
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