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1538790522
AUSTIN SOUPHANTHALOP
BATON ROUGE, LA
NPI
1538790522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2020-01-29
Last Update Date
2020-01-29
Business Address
AUSTIN SOUPHANTHALOP
758 ROYAL ST
BATON ROUGE, LA 70802-6433
Phone number: 225-529-3890
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Mailing Address
AUSTIN SOUPHANTHALOP
2803 MAYO ST
NEW IBERIA, LA 70560-8302
Phone number: 337-519-6698
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