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Individual

MR. ARTHUR JOHN BOSWORTH IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2645 S BANK LN, VACHERIE, LA 70090
(504) 214-8823
Mailing address
PO BOX 897, VACHERIE, LA 70090-0897
(504) 214-8823

Taxonomy

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

Other

Enumeration date
06/07/2017
Last updated
08/07/2018
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