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1215996095
JERRY L WHITEMAN
LAKE CHARLES, LA
NPI
1215996095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: LA 407)
Enumeration Date
2006-03-21
Last Update Date
2010-12-02
Business Address
-- JERRY L WHITEMAN PHD.
2829 4TH AVE 150
LAKE CHARLES, LA 70601-7887
Phone number: 337-477-7091
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Mailing Address
-- JERRY L WHITEMAN PHD.
2829 4TH AVE 150
LAKE CHARLES, LA 70601-7887
Phone number: 337-477-7091
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