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1629710793
BRANDEAUX GRANT
MANDEVILLE, LA
NPI
1629710793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2022-04-10
Last Update Date
2022-04-10
Business Address
BRANDEAUX GRANT
315 JACKSON AVE
MANDEVILLE, LA 70448-6018
Phone number: 504-756-5728
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Mailing Address
BRANDEAUX GRANT
PO BOX 113005
METAIRIE, LA 70011-3005
Phone number: 504-276-2033
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