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1760028096
CASEY NICHOLAS AUDIRSCH
RUSTON, LA
NPI
1760028096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-11-21
Last Update Date
2019-11-21
Business Address
CASEY NICHOLAS AUDIRSCH BA Psychology
829 E GEORGIA AVE
RUSTON, LA 71270-3912
Phone number: 318-242-0730
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Mailing Address
CASEY NICHOLAS AUDIRSCH BA Psychology
1408 TECH FARM RD APT D2
RUSTON, LA 71270-5464
Phone number: 318-918-8213
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