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Individual

DR. PAUL STEPHEN TASSIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2001 42ND ST, KENNER, LA 70065-2196
(504) 443-6000
Mailing address
2001 42ND ST, KENNER, LA 70065-2196
(504) 443-6000

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
995
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1669636
LA
01
3284F
BLUE CROSS
LA
01
72-1313922
TAX ID
LA
Enumeration date
09/20/2006
Last updated
07/08/2007
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