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1184130221
JAVORIUS ROCHEY CANNA
MANSFIELD, LA
NPI
1184130221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-12-27
Last Update Date
2017-12-27
Business Address
JAVORIUS ROCHEY CANNA
501 LOUISIANA ST
MANSFIELD, LA 71052-2621
Phone number: 318-872-2085
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Mailing Address
JAVORIUS ROCHEY CANNA
501 LOUISIANA ST
MANSFIELD, LA 71052-2621
Phone number: 318-872-2085
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