ERIC EARL COUSIN

BELLE CHASSE, LA
NPI1336129659
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2006-01-20
Last Update Date2007-07-08
Business Address
Mr. ERIC EARL COUSIN SURFACE IDC
123 INTREPID DR
BELLE CHASSE, LA 70037-1358
Phone number: 504-391-3643
Mailing Address
Mr. ERIC EARL COUSIN SURFACE IDC
123 INTREPID DR
BELLE CHASSE, LA 70037-1358
Phone number: 504-391-3643
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