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Individual

MR. DAVID VIZINAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN FNP-C

Contact information

Practice address
12186 HIGHWAY 171, LONGVILLE, LA 70652-4625
(770) 842-0901
Mailing address
184 KATHY DR, RAGLEY, LA 70657-6613
(770) 842-0901

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08501
LA

Other

Enumeration date
03/22/2012
Last updated
04/02/2017
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