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1780770081
RANDALL CONNELL
LAFAYETTE, LA
NPI
1780770081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133NN1002X Nutritionist, Nutrition, Education
(Licence: LA 1964)
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
-- RANDALL CONNELL RD
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503-2621
Phone number: 337-289-7584
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Mailing Address
-- RANDALL CONNELL RD
106 WINDCHASE DR PO BOX 52009
LAFAYETTE, LA 70508-6546
Phone number: 337-289-7584
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