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1568905891
DEMETRIUS BOOSE
MONROE, LA
NPI
1568905891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-11-17
Last Update Date
2016-11-17
Business Address
Mr. DEMETRIUS BOOSE
645 HIGHWAY 80 E
MONROE, LA 71203-8527
Phone number: 318-343-8744
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Mailing Address
Mr. DEMETRIUS BOOSE
645 HIGHWAY 80 E
MONROE, LA 71203-8527
Phone number: 318-343-8744
Copy
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