LANE FONTENOT

SHREVEPORT, LA
NPI1407318413
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-01
Last Update Date2019-04-01
Business Address
LANE FONTENOT
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-795-2638
Mailing Address
LANE FONTENOT
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-795-2638
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