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1629502943
DELONTRA FIELDS
CROWLEY, LA
NPI
1629502943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-04-13
Last Update Date
2017-04-13
Business Address
-- DELONTRA FIELDS
309 N PARKERSON AVE
CROWLEY, LA 70526-5046
Phone number: 337-414-0102
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Mailing Address
-- DELONTRA FIELDS
309 N PARKERSON AVE
CROWLEY, LA 70526-5046
Phone number: 337-414-0102
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