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1053961094
ANGIE LEE ANDERSON
ALEXANDRIA, LA
NPI
1053961094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
(Licence: LA ooooooooooo)
Enumeration Date
2019-09-11
Last Update Date
2019-09-11
Business Address
ANGIE LEE ANDERSON
708 GABRIEL LN
ALEXANDRIA, LA 71302-5235
Phone number: 318-792-1523
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Mailing Address
ANGIE LEE ANDERSON
708 GABRIEL LN
ALEXANDRIA, LA 71302-5235
Phone number: 318-792-1523
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