KENNETH WAYNE EAGLIN

LAFAYETTE, LA
NPI1053889261
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-11-06
Last Update Date2019-01-14
Business Address
KENNETH WAYNE EAGLIN
1017 SAINT JOHN ST
LAFAYETTE, LA 70501
Phone number: 337-261-2300
Mailing Address
KENNETH WAYNE EAGLIN
1301 YOUREE DR
SHREVEPORT, LA 71101-5117
Phone number: 318-675-0804
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