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NPI Profile for ANTHONY R MANCUSO JR in BATON ROUGE, LA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Orthopedic |
163WX0800X |
| NPI Number | 1265716435 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 10/05/2011 | |
| Last updated | 10/05/2011 - About 15 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ANTHONY R MANCUSO JR
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ANTHONY R MANCUSO JR, RN