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Individual

JEROME CLEMENT VALENTA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1585 3RD ST, DPC BAYNE-JONES ARMY COMMUNITY HOSPITAL, FORT POLK, LA 71459-5102
(337) 531-7856
Mailing address
1585 3RD ST, DPC BAYNE-JONES ARMY COMMUNITY HOSPITAL, FORT POLK, LA 71459-5102
(337) 531-7856

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E4731
TX

Other

Enumeration date
08/16/2006
Last updated
11/23/2011
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