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1043783137
ALTON JERMAINE GUIDRY
OPELOUSAS, LA
NPI
1043783137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-01-10
Last Update Date
2019-01-10
Business Address
ALTON JERMAINE GUIDRY
805 S UNION ST
OPELOUSAS, LA 70570-6029
Phone number: 337-678-4004
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Mailing Address
ALTON JERMAINE GUIDRY
101 HARVEST SUGAR ROW
CARENCRO, LA 70520-6183
Phone number: 337-693-0159
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