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1295567741
JORDAN TAYLOR DUPONT
SORRENTO, LA
NPI
1295567741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA CIT-5725)
Enumeration Date
2024-08-14
Last Update Date
2024-08-14
Business Address
JORDAN TAYLOR DUPONT CIT-5725
7384 JOHN LEBLANC BLVD
SORRENTO, LA 70778-3231
Phone number: 225-310-2600
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Mailing Address
JORDAN TAYLOR DUPONT CIT-5725
7384 JOHN LEBLANC BLVD
SORRENTO, LA 70778-3231
Phone number: 225-310-2600
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