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1821746462
RICHARD SETH THIBODEAUX
SHREVEPORT, LA
NPI
1821746462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-03-14
Last Update Date
2022-03-14
Business Address
RICHARD SETH THIBODEAUX
10450 ELLERBE RD
SHREVEPORT, LA 71106-7730
Phone number: 318-629-1732
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Mailing Address
RICHARD SETH THIBODEAUX
10450 ELLERBE RD
SHREVEPORT, LA 71106-7730
Phone number: 318-629-1732
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