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Individual

ANTHONY G JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10002 BREEDEN DRIVE, BATON ROUGE, LA 70811
(225) 572-1166
Mailing address
10002 BREEDEN DR, BATON ROUGE, LA 70811-2159
(225) 572-1166

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00000

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00000
LA
Enumeration date
06/08/2017
Last updated
07/21/2022
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