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1053861302
ERIN JENTRAY DESPANIE
OPELOUSAS, LA
NPI
1053861302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-10-11
Last Update Date
2016-10-11
Business Address
-- ERIN JENTRAY DESPANIE
303 W SOUTH ST APT. 1
OPELOUSAS, LA 70570-5100
Phone number: 337-323-9608
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Mailing Address
-- ERIN JENTRAY DESPANIE
303 W SOUTH ST APT. 1
OPELOUSAS, LA 70570-5100
Phone number: 337-323-9608
Copy
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