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Individual

MR. LOUIE BADIOLA BISMONTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
INDEPENDENT DUTY HM

Contact information

Practice address
937 FRANKLIN BLVD, LEMOORE, CA 93246-4700
(559) 998-4325
Mailing address
937 FRANKLIN BLVD, LEMOORE, CA 93246-4700
(559) 998-4325

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
02/05/2009
Last updated
02/05/2009
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