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1346209236
GLENN COULLARD
ZACHARY, LA
NPI
1346209236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: LA 683333T)
Enumeration Date
2006-03-21
Last Update Date
2012-08-07
Business Address
Dr. GLENN COULLARD O.D.
2421 CHURCH ST
ZACHARY, LA 70791-2710
Phone number: 225-654-1061
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Mailing Address
Dr. GLENN COULLARD O.D.
2421 CHURCH ST
ZACHARY, LA 70791-2710
Phone number: 225-654-1061
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