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1477231900
JERICA LAFAYETTE
BATON ROUGE, LA
NPI
1477231900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2023-07-05
Last Update Date
2023-07-05
Business Address
JERICA LAFAYETTE
149 CORA DR
BATON ROUGE, LA 70815-4202
Phone number: 225-223-8053
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Mailing Address
JERICA LAFAYETTE
9442 COUNTRY LAKE DR
BATON ROUGE, LA 70817-7027
Phone number: 225-223-8053
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