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1629376736
JERALD LOUIS KETCHENS
WEST MONROE, LA
NPI
1629376736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: LA 335)
Enumeration Date
2011-03-14
Last Update Date
2024-12-22
Business Address
Mr. JERALD LOUIS KETCHENS bc-his
716 N 7TH ST
WEST MONROE, LA 71291-4212
Phone number: 318-322-3312
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Mailing Address
Mr. JERALD LOUIS KETCHENS bc-his
716 N 7TH ST
WEST MONROE, LA 71291-4212
Phone number: 318-322-3312
Copy
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