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1861051831
JASON ALLEN
LAFAYETTE, LA
NPI
1861051831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier
(Licence: LA 37-1930197)
Enumeration Date
2019-06-12
Last Update Date
2019-06-12
Business Address
JASON ALLEN
120 LONGFELLOW DR
LAFAYETTE, LA 70503-6611
Phone number: 337-230-9266
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Mailing Address
JASON ALLEN
120 LONGFELLOW DR
LAFAYETTE, LA 70503-6611
Phone number: 337-230-9266
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