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1033645676
LEE ANTWINE
BASTROP, LA
NPI
1033645676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-05-02
Last Update Date
2017-05-02
Business Address
-- LEE ANTWINE
209 W JEFFERSON AVE 209 WEST JEFFERSON AVE
BASTROP, LA 71220-4543
Phone number: 318-239-3890
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Mailing Address
-- LEE ANTWINE
209 W JEFFERSON AVE 209 WEST JEFFERSON AVE
BASTROP, LA 71220-4543
Phone number: 318-239-3890
Copy
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