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1104964279
TROY ANTHONY BOLDEN
LAFAYETTE, LA
NPI
1104964279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: LA 096938)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
Mr. TROY ANTHONY BOLDEN RN
302 DULLES DRIVE
LAFAYETTE, LA 70506
Phone number: 337-262-4161
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Mailing Address
Mr. TROY ANTHONY BOLDEN RN
232 IVORY STREET
LAFAYETTE, LA 70506
Phone number: 337-504-2498
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