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1720577141
AUSTIN R BANKS
MARRERO, LA
NPI
1720577141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-05-02
Last Update Date
2018-05-02
Business Address
-- AUSTIN R BANKS Sports Management
14 GLADIOLA CT
MARRERO, LA 70072-2429
Phone number: 985-956-7650
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Mailing Address
-- AUSTIN R BANKS Sports Management
14 GLADIOLA CT
MARRERO, LA 70072-2429
Phone number: 504-799-9207
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