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1114490802
EDWARD BLUE
LAKE CHARLES, LA
NPI
1114490802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-01-07
Last Update Date
2019-01-07
Business Address
EDWARD BLUE
1333 COMMON ST
LAKE CHARLES, LA 70601-5255
Phone number: 337-437-4014
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Mailing Address
EDWARD BLUE
1333 COMMON ST
LAKE CHARLES, LA 70601-5255
Phone number: 337-437-4014
Copy
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