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1326609462
SPARKY JOEL TRAHAN
HOUMA, LA
NPI
1326609462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2019-06-27
Last Update Date
2020-09-10
Business Address
SPARKY JOEL TRAHAN PSS
5599 HIGHWAY 311
HOUMA, LA 70360-2866
Phone number: 985-857-3615
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Mailing Address
SPARKY JOEL TRAHAN PSS
124A HOLLYWOOD ST
THIBODAUX, LA 70301-4322
Phone number: 985-857-3615
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