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Individual

DEANQUENETTE JOCKELIA MARDIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1108 STERLINGTON HWY, FARMERVILLE, LA 71241-3812
(318) 368-9118
Mailing address
1108 STERLINGTON HWY, FARMERVILLE, LA 71241-3812

Taxonomy

Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
LA

Other

Enumeration date
04/11/2017
Last updated
04/11/2017
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