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1437772258
CRISTIAN JOSE LEOPOLDO CARABALLO RODRIGUEZ
LAFAYETTE, LA
NPI
1437772258
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Professional Name
CRISTIAN JOSE CARABALLO
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-05-27
Last Update Date
2020-05-27
Business Address
CRISTIAN JOSE LEOPOLDO CARABALLO RODRIGUEZ
2509 JOHNSTON ST APT 7-06
LAFAYETTE, LA 70503-3261
Phone number: 337-889-8043
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Mailing Address
CRISTIAN JOSE LEOPOLDO CARABALLO RODRIGUEZ
2509 JOHNSTON ST APT 7-06
LAFAYETTE, LA 70503-3261
Phone number: 337-889-8043
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