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Individual
ROBBIE BOYD MARCANTEL
Active
Individual
ROBBIE BOYD MARCANTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAA10386RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P000014188
RAILROAD MEDICARE PALMETT
LA
Enumeration date
02/16/2006
Last updated
01/11/2017
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