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1265747422
BO L NGUYEN
GONZALES, LA
NPI
1265747422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
(Licence: LA 04216)
Enumeration Date
2010-08-12
Last Update Date
2010-08-12
Business Address
-- BO L NGUYEN
108 E SANDERS ST
GONZALES, LA 70737-3144
Phone number: 225-439-9220
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Mailing Address
-- BO L NGUYEN
212 N BURNSIDE AVE
GONZALES, LA 70737-2824
Phone number: 225-439-9220
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