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1114201399
OUR LADY OF LAKE ASCENSION, LLC
GONZALES, LA
NPI
1114201399
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Entity Type
Organization
Authorized Contact
JOHN FREDERICK FRAICHE
President
225-647-8511
Organization Subpart ?
No
Primary Taxonomy
174H00000X Health Educator
Enumeration Date
2011-10-05
Last Update Date
2011-10-05
Business Address
OUR LADY OF LAKE ASCENSION, LLC
2647 S SAINT ELIZABETH BLVD
GONZALES, LA 70737-5021
Phone number: 225-647-8511
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Mailing Address
OUR LADY OF LAKE ASCENSION, LLC
2647 S SAINT ELIZABETH BLVD
GONZALES, LA 70737-5021
Phone number: 225-647-8511
Copy
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