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1508515560
JEROME MARK BRUNO
LAFAYETTE, LA
NPI
1508515560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
(Licence: LA 1171824)
Enumeration Date
2022-03-18
Last Update Date
2022-03-22
Business Address
Mr. JEROME MARK BRUNO
216 8TH ST
LAFAYETTE, LA 70501-7163
Phone number: 985-397-0290
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Mailing Address
Mr. JEROME MARK BRUNO
529 POTIER RD LOT B
CARENCRO, LA 70520-6237
Phone number: 337-520-1813
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