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1154871606
JACQUANA ALFRED
LAKE CHARLES, LA
NPI
1154871606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-10-08
Last Update Date
2016-10-08
Business Address
-- JACQUANA ALFRED
241 W SALLIER ST
LAKE CHARLES, LA 70601-5892
Phone number: 337-602-6663
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Mailing Address
-- JACQUANA ALFRED
241 W SALLIER ST
LAKE CHARLES, LA 70601-5892
Phone number:
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