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1366999492
JOSE BLANCO-CREDES
LAFAYETTE, LA
NPI
1366999492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-09-07
Last Update Date
2016-09-07
Business Address
-- JOSE BLANCO-CREDES
106 HEYMANN BLVD
LAFAYETTE, LA 70503-2322
Phone number: 337-504-4279
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Mailing Address
-- JOSE BLANCO-CREDES
106 HEYMANN BLVD
LAFAYETTE, LA 70503-2322
Phone number:
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