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1164716569
CHARLES JAMES WAGUESPACK
RACELAND, LA
NPI
1164716569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 6170)
Enumeration Date
2011-06-02
Last Update Date
2011-06-02
Business Address
-- CHARLES JAMES WAGUESPACK D.D.S.
109 JOHNNY DUFRENE DR
RACELAND, LA 70394-2611
Phone number: 985-532-5303
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Mailing Address
-- CHARLES JAMES WAGUESPACK D.D.S.
PO BOX E
MATHEWS, LA 70375-0429
Phone number:
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