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1114583739
KEENON JARELL LEBLANC
LAFAYETTE, LA
NPI
1114583739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-05-20
Last Update Date
2019-05-20
Business Address
KEENON JARELL LEBLANC
603 W GLORIA SWITCH RD
LAFAYETTE, LA 70507-2315
Phone number: 337-706-5443
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Mailing Address
KEENON JARELL LEBLANC
603 W GLORIA SWITCH RD
LAFAYETTE, LA 70507-2315
Phone number: 337-706-5443
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