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1417580796
TEARS MICKENS
LAFAYETTE, LA
NPI
1417580796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2020-02-14
Last Update Date
2020-02-14
Business Address
TEARS MICKENS
1017 SAINT JOHN ST
LAFAYETTE, LA 70501-6711
Phone number: 337-261-2300
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Mailing Address
TEARS MICKENS
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number:
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