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1962737080
ARIEL O ANTEZANA
ALEXANDRIA, LA
NPI
1962737080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: LA MD206719)
Enumeration Date
2009-10-07
Last Update Date
2019-02-13
Business Address
Dr. ARIEL O ANTEZANA
3311 PRESCOTT RD STE 216
ALEXANDRIA, LA 71301-3983
Phone number: 318-443-0490
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Mailing Address
Dr. ARIEL O ANTEZANA
3311 PRESCOTT RD STE 216
ALEXANDRIA, LA 71301-3983
Phone number: 318-443-0490
Copy
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