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1649095142
THEDRIC KYWON HANEY
BATON ROUGE, LA
NPI
1649095142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2024-11-19
Last Update Date
2024-11-19
Business Address
Mr. THEDRIC KYWON HANEY
1900 BLOUNT RD APT 234
BATON ROUGE, LA 70807-2200
Phone number: 225-953-2960
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Mailing Address
Mr. THEDRIC KYWON HANEY
1900 BLOUNT RD APT 234
BATON ROUGE, LA 70807-2200
Phone number: 225-953-2960
Copy
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