Individual
JOHN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12321 SAINT HELENA ST, CLINTON, LA 70722-3100
(985) 969-2392
Mailing address
PO BOX 93, CLINTON, LA 70722-0093
(985) 969-2392
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
LA
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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