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1134653025
LISA BERCEGEAY
SAINT AMANT, LA
NPI
1134653025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: LA LA5459)
Enumeration Date
2017-04-17
Last Update Date
2017-04-17
Business Address
-- LISA BERCEGEAY B.A., LMT, CST-P
45016 GOLD PLACE RD
SAINT AMANT, LA 70774-3619
Phone number: 225-571-2943
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Mailing Address
-- LISA BERCEGEAY B.A., LMT, CST-P
45016 GOLD PLACE RD
SAINT AMANT, LA 70774-3619
Phone number: 225-571-2943
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