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Clint Jason Desoto

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NPI Number Detailed Information

Provider Information:

Name: Clint Jason Desoto
Gender: M
Provider License Number If Given: 89464

NPI Information:

NPI: 1326284563
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 12/17/2008

Last Update Date: 12/17/2008

Provider Business Mailing Address:

Address: 461 AIRBASE RD
Pollock, LA 71467
Phone Number: 3187151792
Fax Number: 3187657641

Provider Business Practice Location Address:

Address: 461 AIRBASE RD
Pollock, LA 71467
Phone Number: 3187151792
Fax Number: 3187657641

Provider Taxonomy:

Primary: 171WH0202X
Secondary (if any):
State: LA

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About Clint Jason Desoto

Clint Jason Desoto ( CLINT JASON DESOTO ) is Definition Contractor Physician in Pollock, LA. The NPI Number for Clint Jason Desoto is 1326284563.
The current location address for Clint Jason Desoto is 461 AIRBASE RD Pollock, LA 71467 and the contact number is 3187151792 and fax number is 3187657641. The mailing address for Clint Jason Desoto is 461 AIRBASE RD Pollock, LA 71467- 3187151792 (mailing address contact number - 3187151792).
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FAQs:

What is the NPI Number for Clint Jason Desoto ?


Answer: The NPI Number for Clint Jason Desoto is 1326284563

Where is Clint Jason Desoto located?


Answer: Clint Jason Desoto is located at 461 AIRBASE RD Pollock, LA 71467.

What is the specialty for Clint Jason Desoto ?


Answer: The Specialty of Clint Jason Desoto is Definition Contractor Physician.

Are there any online reviews for Clint Jason Desoto ?


Answer: Not yet!

Are there any other health care providers in Pollock, LA?


Answer: Yes, there are given below...

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