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Individual

LOUIS SOUFFRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
29 KLING ST APT 2, WEST ORANGE, NJ 07052-5510
(908) 422-3108
Mailing address
29 KLING ST APT 2, WEST ORANGE, NJ 07052-5510

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321213-1
NY

Other

Enumeration date
03/03/2015
Last updated
03/03/2015
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