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Individual

MR. MIGUEL MONTRELLE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
882 OLD RAFE MEYER RD, BATON ROUGE, LA 70807-1150
(225) 328-3029
Mailing address
882 OLD RAFE MEYER RD, BATON ROUGE, LA 70807-1150
(225) 328-3029

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
02/23/2014
Last updated
02/23/2014
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