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1295105401
JACQUES PRUDHOMME
RUSTON, LA
NPI
1295105401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-09-30
Last Update Date
2019-01-25
Business Address
JACQUES PRUDHOMME
107 W. ALABAMA AVE
RUSTON, LA 71270-4403
Phone number: 318-224-7170
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Mailing Address
JACQUES PRUDHOMME
107 W. ALABAMA AVE
RUSTON, LA 71270-4403
Phone number: 318-224-7170
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