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1174011175
LA'CANJALA N LATIN
LAKE CHARLES, LA
NPI
1174011175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 008881583)
Enumeration Date
2018-04-25
Last Update Date
2018-04-25
Business Address
-- LA'CANJALA N LATIN Masters Degree
1639 RYAN ST
LAKE CHARLES, LA 70601-5948
Phone number: 337-602-6391
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Mailing Address
-- LA'CANJALA N LATIN Masters Degree
1639 RYAN ST
LAKE CHARLES, LA 70601-5948
Phone number: 337-602-6391
Copy
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