Joseph L Jr Mouton

Name

Joseph L Jr Mouton

Year of birth

1965

Source

USA - Health and Human Services List of Excluded Individuals and Entities

Aliases

Joseph L Jr Mouton

Privacy Request

Additional Information

General: SKILLED NURSING FAC

Specialty: ORTHOPEDICS

Address: 2823 BIENVILE BLVD, #144

City: OCEAN SPRINGS

State: MS

Zip code: 39564

Exclusion type: License revocation, suspension, or surrender. Minimum Period: Period imposed by the state licensing authority. (Social Security Act: 1128(b)(4), 42 USC §: 1320a-7(b)(4))

Exclusion date: 1999-09-20


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