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Individual

JONAH BORNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
300 E 5TH ST, EDGARD, LA 70049-2354
(985) 210-7233
Mailing address
300 E 5TH ST, EDGARD, LA 70049-2354
(985) 210-7233

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/04/2017
Last updated
01/04/2017
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