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Individual

BRI'ANTE LACOLE RICHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1017 SAINT JOHN ST, LAFAYETTE, LA 70501-6711
(337) 261-2300
(337) 261-9080
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(337) 261-2300

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/18/2022
Last updated
04/18/2022
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