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1154827483
JENNIE HARDIN
LAKE CHARLES, LA
NPI
1154827483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 20120860)
Enumeration Date
2018-04-04
Last Update Date
2018-04-04
Business Address
Mrs. JENNIE HARDIN
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601-7864
Phone number: 337-377-2579
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Mailing Address
Mrs. JENNIE HARDIN
3708 NELSON RD
LAKE CHARLES, LA 70605-2412
Phone number:
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