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1659904191
BRYAN RUCKER
MONROE, LA
NPI
1659904191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 4131)
Enumeration Date
2020-02-12
Last Update Date
2020-02-12
Business Address
Mr. BRYAN RUCKER
2321 HIGHWAY 80 E
MONROE, LA 71203-9366
Phone number: 318-600-3333
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Mailing Address
Mr. BRYAN RUCKER
2321 HIGHWAY 80 E
MONROE, LA 71203-9366
Phone number: 318-600-3333
Copy
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