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Individual

JERRY WAYNE POUNDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
EDD

Contact information

Practice address
2036 JACKSON ST, ALEXANDRIA, LA 71301-6439
(318) 641-0444
(318) 641-6118
Mailing address
2036 JACKSON ST, ALEXANDRIA, LA 71301-6439
(318) 641-0444
(318) 641-6118

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7825
LA

Other

Enumeration date
06/07/2019
Last updated
06/07/2019
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