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1104365097
JUSTIN DEWAYNE EVANS
NATCHITOCHES, LA
NPI
1104365097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2017-02-13
Last Update Date
2017-02-13
Business Address
MR. JUSTIN DEWAYNE EVANS
820 GENTRY DAVIS
NATCHITOCHES, LA 71457
Phone number: 318-946-6073
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Mailing Address
MR. JUSTIN DEWAYNE EVANS
820 GENTRY DAVIS ST
NATCHITOCHES, LA 71457-3762
Phone number: 318-946-6073
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