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Individual

MR. MARK DAVID PAXTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LOTR

Contact information

Practice address
1125 MARGUERITE ST, MORGAN CITY, LA 70380-1855
(985) 380-4465
(985) 380-4387
Mailing address
1125 MARGUERITE ST, MORGAN CITY, LA 70380-1855
(985) 380-4465
(985) 380-4387

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z11554
LA

Other

Enumeration date
09/27/2010
Last updated
09/27/2010
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