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1760954838
RONALD RICKEY POULAN
BREAUX BRIDGE, LA
NPI
1760954838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2018-12-29
Last Update Date
2018-12-29
Business Address
RONALD RICKEY POULAN
282 LAWRENCE ST
BREAUX BRIDGE, LA 70517-4206
Phone number: 337-247-5248
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Mailing Address
RONALD RICKEY POULAN
282 LAWRENCE ST
BREAUX BRIDGE, LA 70517-4206
Phone number: 337-247-5248
Copy