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1730911231
JALAL PROUT
GRETNA, LA
NPI
1730911231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: LA 007166847)
Enumeration Date
2024-08-14
Last Update Date
2024-08-14
Business Address
Mr. JALAL PROUT
661 FAIRFIELD AVE
GRETNA, LA 70056-7623
Phone number: 504-228-4508
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Mailing Address
Mr. JALAL PROUT
661 FAIRFIELD AVE
GRETNA, LA 70056-7623
Phone number: 504-228-4508
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