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1043852502
MALLORY BREAUX
LAKE CHARLES, LA
NPI
1043852502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-10-16
Last Update Date
2019-10-16
Business Address
MALLORY BREAUX
2829 4TH AVE
LAKE CHARLES, LA 70601-7887
Phone number: 337-477-7091
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Mailing Address
MALLORY BREAUX
2829 4TH AVE
LAKE CHARLES, LA 70601-7887
Phone number: 337-477-7091
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