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1477183440
BENTON WAYNE LOVELL
MONROE, LA
NPI
1477183440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2020-01-18
Last Update Date
2020-01-28
Business Address
BENTON WAYNE LOVELL
4306 S GRAND ST
MONROE, LA 71202-6322
Phone number: 318-418-3745
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Mailing Address
BENTON WAYNE LOVELL
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number:
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