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JOEL EDMUND PERDOMO — Medicare Enrolled Provider (PRACTITIONER - GENERAL PRACTICE, LA)

JOEL EDMUND PERDOMO — Medicare Enrolled Provider (PRACTITIONER - GENERAL PRACTICE, LA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: JOEL EDMUND PERDOMO; Type: Individual; NPI: 1003128463.

NameJOEL EDMUND PERDOMO
TypeIndividual
NPI1003128463
Provider typePRACTITIONER - GENERAL PRACTICE
StateLA
Enrollment IDI20150814012755
Multiple NPI flagN
SourceCMS Medicare FFS Public Provider Enrollment (PECOS)

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