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1730621830
JAVARIOUS TALTON
MONROE, LA
NPI
1730621830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-11-07
Last Update Date
2016-11-07
Business Address
-- JAVARIOUS TALTON
801 STUBBS AVE
MONROE, LA 71201-5585
Phone number: 318-512-4997
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Mailing Address
-- JAVARIOUS TALTON
1709 OAKLAWN DR
MONROE, LA 71202-3041
Phone number:
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