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1003338401
PETER BRIAN DEROUEN
LAFAYETTE, LA
NPI
1003338401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-07-07
Last Update Date
2017-07-07
Business Address
PETER BRIAN DEROUEN
160 INDUSTRIAL PKWY STE 105
LAFAYETTE, LA 70508-8309
Phone number: 337-298-0990
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Mailing Address
PETER BRIAN DEROUEN
PO BOX 61592
LAFAYETTE, LA 70596-1592
Phone number:
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