CLEVELAND MARK AUZENNE

LAFAYETTE, LA
NPI1215544218
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: LA  007387640)
Enumeration Date2020-09-24
Last Update Date2020-09-24
Business Address
CLEVELAND MARK AUZENNE
210 POLLY LN APT 227
LAFAYETTE, LA 70508-4981
Phone number: 318-751-3473
Mailing Address
CLEVELAND MARK AUZENNE
210 POLLY LN APT 227
LAFAYETTE, LA 70508-4981
Phone number: 318-751-3473
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