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Individual

ANTHONY SPITALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
72247 FEDELE LN, KENTWOOD, LA 70444-7109
(225) 270-4847
Mailing address
72247 FEDELE LN, KENTWOOD, LA 70444

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017881
LA

Other

Enumeration date
01/17/2012
Last updated
01/17/2012
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