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1114567005
ANTHONY BLACK
BATON ROUGE, LA
NPI
1114567005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2020-01-09
Last Update Date
2020-01-09
Business Address
Mr. ANTHONY BLACK
2202 AUBIN LN APT 404
BATON ROUGE, LA 70816-8294
Phone number: 225-223-5068
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Mailing Address
Mr. ANTHONY BLACK
2202 AUBIN LN APT 404
BATON ROUGE, LA 70816-8294
Phone number: 225-223-5068
Copy
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