John M Barksdale Jr.

BUSINESS ADDRESS:
12045 COURSEY BLVD
SUITE B
Baton Rouge, LA 70816

ADDRESS & CONTACT INFORMATION

BUSINESS ADDRESS:	12045 COURSEY BLVD SUITE B Baton Rouge, LA 70816
PHONE:	(225) 292-8783
FAX:	(225) 292-8030

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Name Prefix		Dr., Mr., Ms.
First Name		John
Middle Name		D., Joe
Last Name		Doe
Name Suffix		O.D.
Address		123 Streetname Ave.
Address Line 2		Suite 108
City		New York
State
Postal Code		90210, 90210-1234
Phone		(213) 555-1234
Fax		(213) 555-1234
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