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1477062974
GLENN FONDAL
NEW IBERIA, LA
NPI
1477062974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-09-27
Last Update Date
2018-08-30
Business Address
GLENN FONDAL
825 CENTER ST STE A
NEW IBERIA, LA 70560
Phone number: 337-551-4630
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Mailing Address
GLENN FONDAL
825 CENTER ST STE A
NEW IBERIA, LA 70560-5500
Phone number:
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