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1326551573
JAKE FONTENOT
OPELOUSAS, LA
NPI
1326551573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-11-09
Last Update Date
2018-08-08
Business Address
JAKE FONTENOT
1238 EDITH ST
OPELOUSAS, LA 70570
Phone number: 337-942-9292
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Mailing Address
JAKE FONTENOT
1238 EDITH ST
OPELOUSAS, LA 70570-5917
Phone number: 337-942-9292
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