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1508240391
JASON WARD PREVOST
CARENCRO, LA
NPI
1508240391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: LA 1393)
Enumeration Date
2015-07-12
Last Update Date
2015-07-12
Business Address
Dr. JASON WARD PREVOST DC
313 MAGNOLIA KNEE DR
CARENCRO, LA 70520-6189
Phone number: 337-565-7140
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Mailing Address
Dr. JASON WARD PREVOST DC
313 MAGNOLIA KNEE DR
CARENCRO, LA 70520-6189
Phone number: 337-565-7140
Copy
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