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1295373025
JACQUELINE CASEY CROUCH
BATON ROUGE, LA
NPI
1295373025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-12-11
Last Update Date
2019-12-11
Business Address
JACQUELINE CASEY CROUCH
NORTH STADIUM DRIVE ATHLETICS ADMINISTRATION BUILDING
BATON ROUGE, LA 70803-0001
Phone number: 225-578-2050
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Mailing Address
JACQUELINE CASEY CROUCH
9051 EASTLAKE AVE
BATON ROUGE, LA 70810-0404
Phone number: 225-610-8875
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