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1194387076
LARRY-MICHAEL MENCER-ACLISE
BATON ROUGE, LA
NPI
1194387076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-07-01
Last Update Date
2019-07-01
Business Address
LARRY-MICHAEL MENCER-ACLISE
2460 COLLEGE DR
BATON ROUGE, LA 70808-2445
Phone number: 225-239-5293
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Mailing Address
LARRY-MICHAEL MENCER-ACLISE
2460 COLLEGE DR
BATON ROUGE, LA 70808-2445
Phone number:
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