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1386149896
JERRY KINCHEN
MANSFIELD, LA
NPI
1386149896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA LPC8335)
Enumeration Date
2018-03-27
Last Update Date
2024-03-05
Business Address
Mr. JERRY KINCHEN
809 POLK ST
MANSFIELD, LA 71052-2452
Phone number: 225-757-5845
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Mailing Address
Mr. JERRY KINCHEN
10732 S MALL DR APT 625
BATON ROUGE, LA 70809-4817
Phone number: 337-516-6663
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